Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK S OLIVERSON, DMD
Active Sole ProprietorDR. MARK S OLIVERSON, DMD is a Dentist healthcare provider located in SALMON, Idaho. NPI 1689797458 is currently active in the NPPES registry. Verify at CMS.
Dentist · SALMON, ID
Registration Details
- NPI Number
- 1689797458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 9, 2007 (19.33068449118 yrs)
- Last Updated
- Oct 9, 2014
- License
-
D4013 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
207 MARGARET STSALMON, ID, 834674400Browse ID providers · Browse ZIP 83467
- Phone
- 2087562262
- Fax
- 2087564473
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.