Provider Demographics
NPI:1780603621
Name:OLSON, BARBARA F (RDH)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:F
Last Name:OLSON
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ALDRICH AVE
Mailing Address - Street 2:
Mailing Address - City:WEST LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03784-1640
Mailing Address - Country:US
Mailing Address - Phone:603-298-5399
Mailing Address - Fax:
Practice Address - Street 1:1 COURT ST
Practice Address - Street 2:SUITE 270
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-1358
Practice Address - Country:US
Practice Address - Phone:603-448-1830
Practice Address - Fax:603-448-1826
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1054124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1054OtherRDH LICENSE