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Search › Idaho › General Practice Dentistry

Brant Olson, D.D.S.,P.A

NPI 1285653071 · on the registry since 2006 · sole proprietor

Practice

Address
250 S Skyline Dr
Suite 5
Idaho Falls, ID 83402
Phone
(208) 522-9101
Fax
(208) 522-2517
Organisation at this address
Kreed Bowman Od Pllc
Mongillo Orthodontics, Pllc
Empowering Human Services, Llc.
Luminous Wisdom Sandplay Therapy And Counseling Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho