Dr. Matthew Allen Olson
Dental Public Health
715 11th St N Ste 106b
Moorhead
, Minnesota 56560-2000
Dr. Matthew Allen Olson
Dental Public Health
715 11th St N Ste 106b
Moorhead
, Minnesota 56560-2000
(503) 869-3996
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Matthew Allen Olson
- 374 5th St N Apt 203
- Fargo, ND
- Zip : 58102-4848
- Phone : (503) 869-3996
Second Address
- Dr. Matthew Allen Olson
- 715 11th St N Ste 106b
- Moorhead, MN
- Zip : 56560-2000
- Fax : (218) 299-7832
- Phone : (218) 299-7830
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | D13041 | MN |
National Provider Identifier
| NPI | 1194095778 |
|---|---|
| Provider Name | Dr. Matthew Allen Olson |
| First Address | Fargo, ND 58102-4848 |
| Second Address | Moorhead, MN 56560-2000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/01/2012 |
| Last Update Date | 12/01/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.