MEDICARE: DR. ANTHONY OLSON DDS

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	122300000X	Dentist	520	SD

General Provider Information

NPI Number	:	1205236643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY OLSON DDS

Provider Business Mailing Address
First Line	:	108 S MINNESOTA AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57104-6414
Country	:	US
Telephone Number	:	605-799-2525
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 S MINNESOTA AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57104-6414
Country	:	US
Telephone Number	:	605-997-2525
Fax Number	:

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

Provider Enumeration Date	:	09/03/2014
Last Update Date	:	01/02/2025

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Directions to “ DR. ANTHONY OLSON DDS” Practice Location

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