Individual provider · Type 1 NPI

Blake Jerome Olson, DDS

General Practice Dentistry · Redway, CA

NPI number 1023290301 Active

Practice location

101 Westcoast Rd.
Redway, CA 95560

Fax (707) 923-2590

Mailing address

101 Westcoast Road, P.o. Box 769
Redway, CA 95560

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X56610 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1023290301

Blake Jerome Olson, DDS's National Provider Identifier is 1023290301, issued on Nov 29, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Redway, CA. The record was last updated on Nov 29, 2007.