MEDICARE: DR. MATTHEW ALLEN OLSON DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	41073	TX

General Provider Information

NPI Number	:	1194095778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW ALLEN OLSON DMD

Provider Business Mailing Address
First Line	:	15907 N BARKERS LANDING RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-2453
Country	:	US
Telephone Number	:	503-869-3996
Fax Number	:

Provider Business Practice Location Address
First Line	:	6909 BRISBANE CT STE 200
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7146
Country	:	US
Telephone Number	:	281-201-8906
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2012
Last Update Date	:	02/25/2026

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