Individual
DR. MARK OLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12192 EVELY PINES LN, STAR, ID 83669
(208) 910-9000
Mailing address
12192 EVELY PINES LN, STAR, ID 83669
(208) 910-9000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7371240-9921
UT
1223P0221X
Pediatric Dentistry
Primary
D-5015-PD
ID
Other
Enumeration date
08/11/2009
Last updated
02/20/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us