Individual provider · Type 1 NPI
Wesley A. Olsen Jr., DMD
Periodontics · State College, PA
NPI number
1639288673
Active
Practice location
205 East Beaver Ave
State College, PA 16801
Fax (814) 861-1200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DS029028L (PA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in State College
About NPI 1639288673
Wesley A. Olsen Jr., DMD's National Provider Identifier is 1639288673, issued on Aug 30, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in State College, PA. The record was last updated on Jul 8, 2007.