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Deactivated NPI 1417177056 Deactivated / Inactive NPI Male Practitioner

Dr. Michael R Olson , DDS

Dentist - General Practice • Bridge City, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Olson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 26, 2007
NPI Deactivation Date February 27, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Olson, DDS was a registered Dentist - General Practice practicing in Bridge City, TX. Throughout an active medical career spanning 12 years, Dr. Olson provided care at the practice location at 725 W ROUND BUNCH RD until profile deactivation on 2019-02-27.

Practice Location & Contact Primary Location

Practice Address

725 W Round Bunch Rd

Bridge City, TX 776112435

Telephone 4097354902
Fax 4097357595
Associated Practice Facility / Clinic
🏢 David O Olson, Dds, Pc Facility NPI 1457536039

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bridge City, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Bridge City, TX (10570 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 TX 21519

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

2 Associated Practitioners
Dr. David Olson , DDS

Dentist - General Practice

NPI 1003978396

Doctor of Dental Surgery

Dr. Amber Hudson , DDS

Dentist - General Practice

NPI 1043430655

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 27, 2019

Record deactivated on February 27, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 725 W ROUND BUNCH RD, BRIDGE CITY, TX 776112435 (Tel: 4097354902)

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Updated Business Mailing Address July 08, 2007

Registered at 755 W ROUND BUNCH RD, BRIDGE CITY, TX 776112435 (Tel: 4097354902)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL OLSON, D.D.S

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #21519 in TX)

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Initial NPI Registration & Enumeration April 26, 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: 1417177056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2007
Last Update: July 08, 2007
Deactivation Date: February 27, 2019

Mailing Address

755 W Round Bunch Rd

Bridge City, TX 776112435

Phone: 4097354902

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.