LEE EUGENE OLSEN (NPI# 1538460811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538460811 |
| Entity Type | Individual |
| Full Name | LEE EUGENE OLSEN |
| Credential | DDS., MS (ORTHODONTI |
| Practice Address |
3564 Van Buren Blvs Riverside CA 92503 |
| Mailing Address |
3564 Van Buren Blvd Riverside CA 92503 |
| Practice Telephone | 9516885437 |
| Practice Fax Number | 9516885434 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
19453 | CA | Dental Providers |
| Street Address |
3564 VAN BUREN BLVS |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245697473 | Ronald Simus I | Dentist | 7170 Indiana Ave, Riverside, CA 92504-4544 | 2016-01-19 |
| 1043540164 | Rosa Peng | Dentist | 10600 Magnolia Ave Ste A, Riverside, CA 92505-1819 | 2010-01-12 |
| 1164674859 | Carrie Akemi Imoto | Dentist | 3511 Madison St, Riverside, CA 92504-3739 | 2008-10-14 |
| 1871755652 | Dr.h.c.ahuja Dds A P C | Dentist | 4959 Arlington Ave Ste H, Riverside, CA 92504-2756 | 2008-07-02 |
| 1063613842 | Michael Chad Hawkins | Dentist | 3511 Madison Ave Suite F, Riverside, CA 92504 | 2007-05-30 |
| 1740492081 | Larry B. Crawford | Dentist | 301 E Alessandro Blvd Ste 3b, Riverside, CA 92508-2464 | 2007-05-06 |
| 1013035153 | C Douglas Fowler Dds Inc | Dentist | 6850 Brockton Avenue, Suite 103, Riverside, CA 92506-3826 | 2007-03-27 |
| 1750405288 | E Jan Davidian | Dentist | 6886 Indiana Ave, Riverside, CA 92506-4218 | 2007-03-19 |
| 1528120797 | Hongsheng Sam Tong | Dentist | 11705 Slate Ave Ste 150, Riverside, CA 92505-7119 | 2006-12-14 |
| 1538235767 | Robert C Stockdale | Dentist | 3487 Central Ave, Riverside, CA 92506-2115 | 2006-11-28 |
| Find all providers in RIVERSIDE | ||||
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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.