Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Olsen DDS PLLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1790668713

Justin Olsen DDS PLLC is an Oral & Maxillofacial Surgery (D.M.D.) in San Antonio, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15600 San Pedro Ave Ste 107
San Antonio, TX 78232-3738
Phone: (210) 490-4044
Fax: (210) 490-3512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1790668713
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Olsen — Owner · (435) 512-3442
Other names Mission Oral Surgery And Implant Center
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address15600 San Pedro Ave Ste 107, San Antonio, TX 78232-3738

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