MARK OLSEN (NPI# 1730353277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730353277 |
| Entity Type | Individual |
| Full Name | MARK OLSEN |
| Credential | DDS |
| Practice Address |
100 Wilburn Rd Suite 212 Sun Prairie WI 53590-1478 |
| Mailing Address |
100 Wilburn Rd Suite 212 Sun Prairie WI 53590 |
| Practice Telephone | 6088377842 |
| Mailing Telephone | 6088377842 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5501015 | WI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780816652 | Mark Olsen | Dentist | 12192 Evely Pines Ln, Star, ID 83669 | 2009-08-11 |
| 1831108430 | Mark F Olsen | Family Medicine | 212 W Monroe Ave Ste B, Lowell, AR 72745-9451 | 2006-08-05 |
| 1154930618 | Mark Alan Olsen | Registered Nurse | 677 E Main St, Centreville, MI 49032-8524 | 2020-07-30 |
| 1124330436 | Mark Olsen | Podiatrist | 220 N Stapley Dr, Suite 1, Mesa, AZ 85203-8057 | 2010-07-02 |
| 1356382592 | Mark Roger Olsen | Internal Medicine | 12697 E 51st St, Tulsa, OK 74146-6236 | 2006-06-09 |
| 1114903036 | Mark W Olsen | Psychiatry & Neurology | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-22 |
| Street Address |
100 WILBURN RD SUITE 212 |
| City | SUN PRAIRIE |
| State | WI |
| Zip Code | 53590-1478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013078955 | Smith & Olsen Dental LLC | Dentist | 100 Wilburn Rd, 212, Sun Prairie, WI 53590-1478 | 2006-12-13 |
| 1366676611 | Siddhi Jyotindra Doshi | Dentist | 100 Wilburn Rd, Sun Prairie, WI 53590-1478 | 2009-05-14 |
| 1861666414 | Bradley Smith | Dentist | 100 Wilburn Rd, Suite 212, Sun Prairie, WI 53590-1478 | 2008-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280529 | Kasi Lucas Schroeder | Chiropractor | 110 N Grand Ave, Suite 4, Sun Prairie, WI 53590 | 2019-02-11 |
| 1770053712 | Jamie Engstrom | Psychologist | 3061 Pleasant St, 216, Sun Prairie, WI 53590 | 2018-12-03 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1669981676 | Elizabeth M Gregg | Counselor | 1170 N Bird St, Sun Prairie, WI 53590 | 2017-09-21 |
| 1609298595 | Prairie Lakes Dental | Dentist | 2804 Prairie Lakes Drive, Sun Prairie, WI 53590 | 2014-01-10 |
| 1407297559 | Quality Medical Rides LLC | Non-emergency Medical Transport (VAN) | 2907 Vang Rd, Sun Prairie, WI 53590 | 2013-07-17 |
| 1376892851 | Costco Wholesale Corporation | Pharmacy | 2850 Hoepker Rd, Sun Prairie, WI 53590 | 2012-08-30 |
| 1043454234 | Dean Lewis Drake | Registered Nurse | 7281 County Rd V. V., Sun Prairie, WI 53590 | 2009-05-01 |
| 1679728992 | Dianne Mary Mayr | Registered Nurse | 3181 Nature Dr, Conservancy States Ln, Sun Prairie, WI 53590 | 2008-12-01 |
| 1043462021 | Crown Point Village, LLC | Assisted Living Facility | 881 Liberty Boulevard, Sun Prairie, WI 53590 | 2008-10-21 |
| Find all providers in zip 53590 | ||||
| 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 |
|---|---|---|---|---|
| 1891304275 | Bryce Opps | Dentist | 390 S Grand Ave Ste 110, Sun Prairie, WI 53590-9294 | 2020-07-30 |
| 1154837433 | Wisconsin Dental Health, LLC | Dentist | 390 S. Grand Ave, Suite#110, Sun Prairie, WI 53590 | 2017-12-21 |
| 1164762720 | Karen E. M. Schoenike | Dentist | 2860 Country Dr, Sun Prairie, WI 53590-9175 | 2013-02-19 |
| 1841448156 | Carrie A Herrild | Dentist | 1270 W. Main St., Sun Prairie, WI 53590-1930 | 2008-08-29 |
| 1093880593 | Alex Ma Thor | Dentist | 3120 Edmonton Dr, Suite #400, Sun Prairie, WI 53590-4593 | 2006-11-21 |
| 1255344685 | Christopher John Stevens | Dentist | 425 W Main Street, Sun Prairie, WI 53590-2971 | 2006-08-15 |
| 1366459216 | Randall Howard Straub | Dentist | 601 North Thompson Rd, Sun Prairie, WI 53590 | 2006-08-02 |
| 1174132591 | 608 Dental Associates LLC | Dentist | 1465 W Main St, Sun Prairie, WI 53590-1837 | 2020-07-31 |
| 1730726555 | Sun Prairie Family Dentistry LLC | Dentist | 180 Wilburn Rd, Sun Prairie, WI 53590-1476 | 2019-12-01 |
| 1063995553 | Katherine A Schuler | Dentist | 1270 W Main St, Sun Prairie, WI 53590-1930 | 2018-09-11 |
| Find all providers in SUN PRAIRIE | ||||
| City | SUN PRAIRIE |
| Zip Code | 53590 |
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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.