IndividualActive
Clyde Olson, DDS
NPI 1033258272 · General Practice Dentistry · Roy, UT
Provider details
- NPI number
- 1033258272
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 133716 (UT)
Specialties & taxonomies
Dental Providers
Practice location
4902 S 1900 W
Roy, UT 84067-2993
Phone: (801) 776-1240
Approximate (ZIP-level) locationGet directions
Mailing address
4902 S 1900 W
Roy, UT 84067-2993
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.