Dr. David Grant Olson, DDS
Dentist, Endodontics in San Antonio, TX. Individual provider (NPI-1).
NPI number1609855774
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1609855774
- Entity type
- Individual (NPI-1)
- Name
- Dr. David Grant Olson
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2006
- Certification date
- Apr 15, 2025
- Last updated
- Apr 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | 4940888-9922 | UT | Yes |
Practice location
2940 Stanley Rd Ste 2375San Antonio, TX 78234-2740
Phone 210-295-4156
Mailing address
2940 Stanley Rd Bldg 2375Fort Sam Houston, TX 78234-2740
Phone 210-295-4595
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