# TOMHAVE OLSON DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083718605
- **Authorized official:** JAMES TOMHAVE DDS (PRESIDENT)
- **Authorized official phone:** (218) 879-4541

## Contact information

- **Practice address:** 510 CUMBERLAND ST., EXECUTIVE PLAZA, 4TH FLOOR, BRISTOL, VA 24201
- **Practice address phone:** (218) 879-4541
- **Mailing address:** 1211 STANLEY AVENUE, CLOQUET, MN 55720
- **Mailing address phone:** (218) 879-4541
- **Mailing address fax:** (218) 879-4542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D10799 | MN | Yes |
| 122300000X | Dentist | D9213 | MN | — |
| 122300000X | Dentist | D9802 | MN | — |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 09/11/2025
