# PATEL-OLSEN SUB-DSO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maple Springs Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043813256
- **Authorized official:** BETH DRAUGHON (REGIONAL MANAGER)
- **Authorized official phone:** (828) 437-7070

## Contact information

- **Practice address:** 218 BURKEMONT AVE, MORGANTON, NC 28655-4454
- **Practice address phone:** (828) 437-7070
- **Practice address fax:** (828) 437-7950
- **Mailing address:** 9920 COULOAK DR STE 100, CHARLOTTE, NC 28216-8923
- **Mailing address phone:** (704) 392-7676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2020
- **Last updated:** 11/19/2020