# OLSON FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1487521845
- **Authorized official:** DR. MANDY M OLSON DMD (DENTIST)
- **Authorized official phone:** (954) 937-6718

## Contact information

- **Practice address:** 4249 US-411 STE 3B, STE 3B, MADISONVILLE, TN 37354
- **Practice address phone:** (423) 420-0800
- **Mailing address:** 545 RARITY BAY PKWY APT 206, VONORE, TN 37885-5381
- **Mailing address phone:** (954) 937-6718

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/21/2025
- **Last updated:** 10/21/2025