Provider Demographics
NPI:1942286166
Name:OLSON, ROBERT D (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:OLSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6355 WARD RD
Mailing Address - Street 2:201
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80004-3821
Mailing Address - Country:US
Mailing Address - Phone:303-420-3310
Mailing Address - Fax:303-422-3599
Practice Address - Street 1:6355 WARD RD
Practice Address - Street 2:201
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-3821
Practice Address - Country:US
Practice Address - Phone:303-420-3310
Practice Address - Fax:303-422-3599
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0510122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist