Search › Missouri › 1223G0001X
Grant Olson
NPI 1497040745 · on the registry since 2011
Practice
- Address
- 3424 S Culpepper Ct
Springfield, MO 65804 - Phone
- (417) 343-1266
- Organisation at this address
- Innovative Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-02
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 Missouri