# BETHANY J. OLSON DDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nye Avenue Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508426818
- **Authorized official:** DR. BETHANY J OLSON DDS (DENTIST/OWNDER)
- **Authorized official phone:** (402) 721-2252

## Contact information

- **Practice address:** 2220 N NYE AVE, FREMONT, NE 68025-2543
- **Practice address phone:** (402) 721-2252
- **Practice address fax:** (402) 721-4826
- **Mailing address:** 2220 N NYE AVE, FREMONT, NE 68025-2543
- **Mailing address phone:** (402) 721-2252

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2019
- **Last updated:** 06/18/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025535600 | — | NE |