Individual
GEORGE MARTIN OLSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
237 SW HIGGINS AVE, STE C, MISSOULA, MT 59803-1403
(406) 721-2830
(406) 549-5053
Mailing address
217 S 2ND AVE STE C, WALLA WALLA, WA 99362-3002
(406) 721-2830
(406) 549-5053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00004703
WA
1223G0001X
General Practice Dentistry
1424
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110162
—
MT
01
—
5511480
CHIP
MT
Enumeration date
01/22/2007
Last updated
02/17/2026
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