Provider Demographics
NPI:1982734067
Name:OLSEN, STEVEN CARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CARL
Last Name:OLSEN
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 1:9085 E MINERAL CIR
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3462
Mailing Address - Country:US
Mailing Address - Phone:303-798-1068
Mailing Address - Fax:303-798-1538
Practice Address - Street 1:9085 E MINERAL CIR
Practice Address - Street 2:SUITE 220
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3462
Practice Address - Country:US
Practice Address - Phone:303-798-1068
Practice Address - Fax:303-798-1538
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1043381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice