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NPI 1225769227

IndividualActive

Bradley Olsen, CDT

NPI 1225769227 · Dental Therapist · Fairmont, MN

Provider details

NPI number: 1225769227
Entity type: Individual
Primary specialty: Dental TherapistDental Providers
Credential: CDT
Sex: Male
Sole proprietor: No
License: DT150 (MN)

Practice location

717 S State St Ste 2

Fairmont, MN 56031-4469

Phone: (507) 235-5985

More MN providers

Mailing address

717 S State St Ste 2

Fairmont, MN 56031-4469

Registry dates

Enumerated: 2022-06-21
Last updated: 2022-06-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bradley Olsen, CDT — NPI 1225769227, Fairmont, MN | NPI Central