MEDICARE: OLMSTEAD & STANBERY DENTAL PARTNERS

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1649000944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OLMSTEAD & STANBERY DENTAL PARTNERS

Provider Business Mailing Address
First Line	:	413 BERYWOOD TRL NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-5285
Country	:	US
Telephone Number	:	423-478-3756
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 BERYWOOD TRL NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-5285
Country	:	US
Telephone Number	:	423-478-3756
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. JOSHUA R OLMSTEAD
Credential	:	DDS
Telephone Number	:	423-715-2758

Provider Enumeration Date	:	08/02/2024
Last Update Date	:	08/02/2024

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Directions to “OLMSTEAD & STANBERY DENTAL PARTNERS ” Practice Location

Language	Start Address	Practice Location

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