Individual
DR. MATTHEW JOHN OLMSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2205 OAK RIDGE RD, SUITE CC, OAK RIDGE, NC 27310-8728
(336) 441-8301
(336) 441-8302
Mailing address
2205 OAK RIDGE RD, SUITE CC, OAK RIDGE, NC 27310-8728
(336) 441-8301
(336) 441-8302
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8582
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8582
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919809
—
NC
Enumeration date
05/22/2008
Last updated
07/09/2014
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