Provider Demographics
NPI:1326106220
Name:OLSON, FRANCES ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:ANNE
Last Name:OLSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 7TH ST NW
Mailing Address - Street 2:CASS LAKE IHS HOSPITAL
Mailing Address - City:CASS LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:56633-3360
Mailing Address - Country:US
Mailing Address - Phone:218-335-3230
Mailing Address - Fax:218-335-3368
Practice Address - Street 1:425 7TH ST NW
Practice Address - Street 2:CASS LAKE IHS HOSPITAL
Practice Address - City:CASS LAKE
Practice Address - State:MN
Practice Address - Zip Code:56633-3360
Practice Address - Country:US
Practice Address - Phone:218-335-3230
Practice Address - Fax:218-335-3368
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR31671223G0001X
FL82061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice