IndividualActive
Andrew Olson, DDS
NPI 1194983502 · Dentist · Logan, UT
Provider details
- NPI number
- 1194983502
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 019027643 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
167 E 200 N Ste 6
Logan, UT 84321-4049
Phone: (435) 752-2704
Approximate (ZIP-level) locationGet directions
Mailing address
167 E 200 N Ste 6
Logan, UT 84321-4049
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2010-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.