Individual
DR. EDWARD FREDERICK OLLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1407 ROUTE 9, CLIFTON PARK, NY 12065-6588
(518) 371-7212
Mailing address
1407 ROUTE 9, CLIFTON PARK, NY 12065-6588
(518) 371-7212
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
040861
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
040861
NY
Other
Enumeration date
03/22/2007
Last updated
09/11/2025
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