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

Tad Olsen

Individual provider Dentist · NPI 1144756016

Tad Olsen is a Dentist in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017

Practice location Address checks out

1130 S Country Club Dr
Mesa, AZ 85210-4639
Phone: (480) 461-9866
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D009695 (AZ)

Record details

NPI number1144756016
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017
Mailing address1293 S 480 W, Salem, UT 84653-9108

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