Organization · Type 2 NPI

Mark R Olsen DDS PLLC

Pediatric Dentistry · Nampa, ID

NPI number 1215712666 Active

Practice location

10034 Jordan Lee St
Nampa, ID 83687

Call (208) 910-9000 Map

Mailing address

3605 W Ladle Rapids St
Meridian, ID 83646-7011

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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NPI record

NPI: 1215712666
Entity type: Organization (Type 2)
Issued: Aug 25, 2023
Last updated: Aug 25, 2023
Status: Active

Other names

Sawtooth Kids Pediatric Dentistr · doing business as
Sawtooth Kids Pediatric Dentistry · doing business as

Authorized official

Dr. Mark Olsen, DDS
Dentist/owner
(208) 910-9000

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About NPI 1215712666

Mark R Olsen DDS PLLC's National Provider Identifier is 1215712666, issued on Aug 25, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Nampa, ID. The record was last updated on Aug 25, 2023.