Grant Olson
Grant Olson is a General Practice Dentistry in Springfield, Missouri. Licensed in Missouri. Registered with an NPI since 2011.
- Licensed in
- MO
- In the registry since
- 2011
Practice location Address checks out
3424 S Culpepper CtSpringfield, MO 65804-3755
Phone: (417) 343-1266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 2011016216 (MO) |
|---|
Record details
| NPI number | 1497040745 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 15, 2011 |
| Last updated in NPPES | October 2, 2012 |
| Mailing address | 3424 S Culpepper Ct, Springfield, MO 65804-3755 |
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