Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023290301 Individual Practitioner Male Practitioner

Dr. Blake Jerome Olson , DDS

Dentist - General Practice • Redway, CA

Professional Overview & Biography Verified Profile Summary

Dr. Blake Olson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Redway, CA. Practice services are available at 101 WESTCOAST RD. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Westcoast Rd.

Redway, CA 95560

Telephone 7079234313
Fax 7079232590

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Redway, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Redway, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 56610

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Susan Bowles , RDH

Dental Hygienist

NPI 1043702475

Registered Dental Hygienist

NPI 1053851345

Doctor of Dental Surgery

Heather Carruth , RDH

Dental Hygienist

NPI 1184321705

Registered Dental Hygienist

Dr. Lorraine Prisbrey , DDS

Dentist - General Practice

NPI 1215151618

Doctor of Dental Surgery

Dr. Judy Hulbert-Anderson , DDS

Dentist - General Practice

NPI 1386771905

Doctor of Dental Surgery

Kelly Ward

Dental Hygienist

NPI 1790222479

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 29, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2007

Registered at 101 WESTCOAST RD., REDWAY, CA 95560 (Tel: 7079234313)

📍
Updated Business Mailing Address November 29, 2007

Registered at 101 WESTCOAST ROAD, P.O. BOX 769, REDWAY, CA 95560 (Tel: 7079534313)

👤
Provider Name / Credentials Updated November 29, 2007

Recorded as BLAKE OLSON, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2007

Dentist (License #56610 in CA)

🟢
Initial NPI Registration & Enumeration November 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023290301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2007
Last Update: November 29, 2007
Sole Proprietor: No

Mailing Address

101 Westcoast Road, P.o. Box 769

Redway, CA 95560

Phone: 7079534313

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.