# CENTER STREET DENTAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Montclair Dental Associates, PC, Montclair Dental, P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912212804
- **Authorized official:** DAVID SCOTT OLSON DDS (PRESIDENT)
- **Authorized official phone:** (402) 333-5337

## Contact information

- **Practice address:** 11902 WEST CENTER ROAD, SUITE 103, OMAHA, NE 68144-4326
- **Practice address phone:** (402) 333-5337
- **Practice address fax:** (402) 333-5346
- **Mailing address:** 11902 WEST CENTER ROAD, SUITE 103, OMAHA, NE 68144-4326
- **Mailing address phone:** (402) 333-5337
- **Mailing address fax:** (402) 333-5346

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2010
- **Last updated:** 03/17/2025