Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1518889179 Individual Practitioner Male Practitioner

Dr. Jack Robert Olson , DDS

Dentist - General Practice • Kings Bay, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Olson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kings Bay, GA. Practice services are available at 871 USS JAMES MADISON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

871 Uss James Madison Rd

Kings Bay, GA 31547

Telephone 9125734212

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kings Bay, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Kings Bay, GA (3302 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

CMS Verified: 2026-07-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA DDS-10497

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

8 Associated Practitioners
Dr. Saundra Middleton , DMD

Dentist - General Practice

NPI 1184681926

Doctor of Dental Medicine

NPI 1366413452

Doctor of Dental Surgery

Jamie Hughes

Dental Hygienist

NPI 1538644612
Hillary Smith , RDH, BS

Dental Hygienist

NPI 1588955090

Registered Dental Hygienist, Bachelor of Science

Dr. Steven Stallings , DMD

Dentist - General Practice

NPI 1639144207

Doctor of Dental Medicine

Deborah Domen , RDH

Dental Hygienist

NPI 1750196176

Registered Dental Hygienist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 27, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2026

Registered at 871 USS JAMES MADISON RD, KINGS BAY, GA 31547 (Tel: 9125734212)

📍
Updated Business Mailing Address July 27, 2026

Registered at 3113 W MIRAMAR CIR, SIOUX FALLS, SD 571081507 (Tel: 6059517667)

👤
Provider Name / Credentials Updated July 27, 2026

Recorded as JACK OLSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Dentist (License #DDS-10497 in IA)

🟢
Initial NPI Registration & Enumeration July 27, 2026

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: 1518889179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2026
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

3113 W Miramar Cir

Sioux Falls, SD 571081507

Phone: 6059517667

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.