Healthcare Provider Details

I. General information

NPI: 1407779192
Provider Name (Legal Business Name): ALEXA MAE OLSON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXA MAE SCHEITLER DDS

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85225 AMARYLLIS CT
FERNANDINA BEACH FL
32034-9707
US

IV. Provider business mailing address

85225 AMARYLLIS CT
FERNANDINA BEACH FL
32034-9707
US

V. Phone/Fax

Practice location:
  • Phone: 712-540-4033
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN32404
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: