DR. TINA M. OLSSON (NPI# 1053351791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053351791 |
| Entity Type | Individual |
| Full Name | DR. TINA M. OLSSON |
| Other Name | DR. TINA MOANA-MARIE OBRYANT |
| Credential | D.M.D., M.S.D |
| Practice Address |
412 Bowes Dr Fircrest WA 98466 |
| Practice Telephone | 2537525511 |
| Practice Fax Number | 2537524442 |
| Mailing Telephone | 2537525511 |
| Mailing Fax Number | 2537524442 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2019-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
DEN00011163 | WA | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
DE00011163 | WA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1123 R St Nw, Auburn, WA 980013848 | 2403814065 |
| Street Address |
412 BOWES DR |
| City | FIRCREST |
| State | WA |
| Zip Code | 98466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403936 | Olsson & Niazi Pllc | Dentist | 3212 Nw Byron St Ste 108, Silverdale, WA 98383-9154 | 2020-09-23 |
| 1003432709 | Ralph Donald Hawkins | Dentist | 14921 182nd Ave E, Bonney Lake, WA 98391-8240 | 2020-06-18 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1558854844 | Hintz, Olaru, & Penberthy, Dds, Pllc | Dentist | 823 W 7th Ave Ste 202, Spokane, WA 99204-2850 | 2018-06-11 |
| 1316447758 | 3d Endodontics | Dentist | 451 Duvall Ave Ne Ste 120, Renton, WA 98059-4675 | 2018-02-12 |
| 1780101113 | Elena Andronova | Dentist | 1200 116th Ave Ne Ste G1, Bellevue, WA 98004-3802 | 2017-08-25 |
| 1679099246 | Randy L Ball Pllc | Dentist | 336 228th Ave Ne Ste 201, Sammamish, WA 98074-7290 | 2017-08-16 |
| 1104348739 | Roshanak Baghai, Pllc | Dentist | 1340 8th St Ne Ste 102, Auburn, WA 98002-4700 | 2017-07-14 |
| 1699219709 | Tanaya Kumar | Dentist | 4901 Point Fosdick Dr. Nw Street 300, Gig Harbor, WA 98335 | 2016-12-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.