Individual
DR. BARNEY T OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 562-5505
(801) 562-4545
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
267453-9922
UT
1223P0221X
Pediatric Dentistry
Primary
267453-9924
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
267453-8903
UT
Other
Enumeration date
06/05/2006
Last updated
06/20/2025
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