Individual
DR. ERIC M OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2894 S 8TH ST, FERNANDINA BEACH, FL 32034-4462
(904) 261-0022
(904) 261-6289
Mailing address
2078 ROGERO RD, JACKSONVILLE, FL 32211-4119
(904) 743-9222
(904) 745-4004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9689
FL
1223P0700X
Prosthodontics
9689
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
629935
UNITED CONCORDIA PROVIDER
FL
01
—
67256
BCBS PROVIDER
FL
Enumeration date
04/14/2006
Last updated
01/05/2022
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