Individual
CODY J OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
351 COLMAR STREET, FORT STEWART, GA 31314
(912) 435-9185
Mailing address
351 COLMAR AVE, FORT STEWART, GA 31314
(571) 801-6773
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14228151-9926
UT
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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