# OLSEN DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OLSEN DENTAL PC
- **Other names:** Olsen and Peters Dental Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578337705
- **Legal business name:** OLSEN DENTAL PC
- **Authorized official:** BRENDA SHERMAN (PRACTICE ADMINSTRATOR)
- **Authorized official phone:** (406) 728-2840

## Contact information

- **Practice address:** 715 W CENTRAL AVE, MISSOULA, MT 59801-6808
- **Practice address phone:** (406) 728-2840
- **Practice address fax:** (406) 728-3083
- **Mailing address:** 715 W CENTRAL AVE, MISSOULA, MT 59801-6808
- **Mailing address phone:** (406) 728-2840
- **Mailing address fax:** (406) 728-3083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 11/08/2023