TJEL C OLSON (NPI# 1730312562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730312562 |
| Entity Type | Individual |
| Full Name | TJEL C OLSON |
| Credential | DMD |
| Practice Address |
1800 Gurley Lane Waco TX 76706 |
| Mailing Address |
1600 Providence Dr Waco TX 76707-2261 |
| Practice Telephone | 2543136000 |
| Practice Fax Number | 2543134531 |
| Mailing Telephone | 2543134200 |
| Mailing Fax Number | 2543134326 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2013-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 24930 | TX | Dental Providers |
| Street Address |
1800 GURLEY LANE |
| City | WACO |
| State | TX |
| Zip Code | 76706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275510380 | Claudia I Raimondo | Dentist | 1800 Gurley Lane, Waco, TX 76706 | 2005-12-29 |
| 1871872069 | Starla K Johnson | Nurse Practitioner | 1800 Gurley Lane, Waco, TX 76706 | 2011-08-05 |
| 1003101718 | Leslie P Smith | Nurse Practitioner | 1800 Gurley Lane, Waco, TX 76706 | 2011-06-10 |
| 1659673036 | Stephanie Elise Claus | Family Medicine | 1800 Gurley Lane, Waco, TX 76706 | 2010-11-17 |
| 1275848327 | Maria Araceli Maldonado | Nurse Practitioner | 1800 Gurley Lane, Waco, TX 76706 | 2010-08-13 |
| 1083845747 | Nathan Michael Smith | Family Medicine | 1800 Gurley Lane, Waco, TX 76706 | 2009-07-29 |
| 1255582607 | Rebecca Diane Mahan | Family Medicine | 1800 Gurley Lane, Waco, TX 76706 | 2008-10-03 |
| 1114101821 | Wendi Weaver | Dentist | 1800 Gurley Lane, Waco, TX 76706 | 2007-12-18 |
| 1447268164 | Floyd Clinton Watson | Family Medicine | 1800 Gurley Lane, Waco, TX 76706 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432632 | Jennifer Podrebarac | Counselor | 2010 Lasalle Ave, Ste B, Waco, TX 76706 | 2020-09-21 |
| 1629604186 | Lisa Grady | Counselor | 2010 Lasalle Ave, Suite A, Waco, TX 76706 | 2020-03-17 |
| 1699333096 | Magnolia Home Health LLC | Home Health | 635 N Robinson Dr Ste D, Robinson, TX 76706 | 2019-05-31 |
| 1669954863 | Lezlie Athey | Physical Therapy Assistant | 2997 Palomino Trail, Robinson, TX 76706 | 2018-09-04 |
| 1588144273 | David Allen Sulsh | Dentist | 421 N. Robinson Dr., Robinson, TX 76706 | 2018-08-21 |
| 1871942938 | Premier Er Plus - Waco, LLC | Clinic/Center | 221 N Jack Kultgen Expy, Suite 100, Waco, TX 76706 | 2016-06-09 |
| 1770970667 | Grant Louis Bargender | Specialist/Technologist | 1500 S. University Parks Dr, Baylor Athletic Training, Waco, TX 76706 | 2015-04-19 |
| 1376890533 | Focus Behavioral Associates, LLC | Behavioral Analyst | 635 N. Robinson Drive, Suite #k, Robinson, TX 76706 | 2012-08-07 |
| 1700113750 | Sheila A Luttrull | Nurse Practitioner | 1127 Ross Ave., Waco, TX 76706 | 2009-11-12 |
| 1386854065 | Social Work Connection | Case Management | 680 Apple Cross Court, Robinson, TX 76706 | 2007-05-23 |
| Find all providers in zip 76706 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102004 | Sabrina Louise Chavez | Dentist | 1115 N Valley Mills Dr # B, Waco, TX 76710-4425 | 2020-07-23 |
| 1912542234 | Dentists of Waco, PC | Dentist | 1115b N Valley Mills Dr, Waco, TX 76710-4425 | 2019-11-11 |
| 1770039406 | Theresa Lassetter | Dentist | 206 Meadow Mountain Drive, Waco, TX 76712 | 2016-09-01 |
| 1275997082 | Access Dental of Park Lake Pa | Dentist | 1925 Park Lake Dr, Waco, TX 76708-1682 | 2016-04-07 |
| 1093178733 | Access Dental of Valley Mills Pa | Dentist | 311401 S Valley Mills Drive, Waco, TX 76711 | 2016-03-31 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1538570783 | Danielle Geshay | Dentist | 8304 Old Mcgregor Rd Ste A, Waco, TX 76712-3600 | 2014-05-09 |
| 1326463555 | Stonehaven Dental Pllc | Dentist | 824 Hewitt Dr # 300, Waco, TX 76712-6656 | 2014-02-25 |
| 1407284128 | Sangeeta Sanjaykumar Gantayat | Dentist | 4215 Franklin Ave Ste 300, Waco, TX 76710-6903 | 2013-10-15 |
| 1770846222 | Charles F Town | Dentist | 824 Hewitt Dr Ste 300, Waco, TX 76712-6604 | 2012-06-20 |
| Find all providers in WACO | ||||
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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.