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Deactivated NPI 1932107372 Deactivated / Inactive NPI Male Practitioner

Dr. Gottfred P Olsen , DDS

Dentist - General Practice • Mesquite, 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. Gottfred Olsen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 11, 2005
NPI Deactivation Date January 28, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Gottfred Olsen, DDS was a registered Dentist - General Practice practicing in Mesquite, TX. Throughout an active medical career spanning 17 years, Dr. Olsen provided care at the practice location at 1645 N TOWN EAST BLVD until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

1645 N Town East Blvd
Ste 532

Mesquite, TX 751504158

Telephone 9726815936
Fax 2148239972
Associated Practice Facility / Clinic
🏢 Rmbo Enterprises Ltd Facility NPI 1164448304

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mesquite, TX

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

Practicing in Mesquite, 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 12609

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
Dr. Richard Eusanio , DPM

Podiatrist - Foot Surgery

NPI 1306033154

Doctor of Podiatric Medicine

Dr. Mallapur Rao , MD

General Practice

NPI 1417975723

Doctor of Medicine (M.D.)

NPI 1427299783

Doctor of Chiropractic

January Jones , PA-C

Physician Assistant - Medical

NPI 1437309309

Physician Assistant (Certified)

Jeanne Opheim

Physical Therapist

NPI 1528188307
Kashmir Kaur , NP

Nurse Practitioner - Family

NPI 1790713535

Nurse Practitioner

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 January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active December 14, 2011

NPI status registered as active in NPPES database

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Updated Practice Location December 14, 2011

Registered at 1645 N TOWN EAST BLVD, STE 532, MESQUITE, TX 751504158 (Tel: 9726815936)

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Updated Business Mailing Address December 14, 2011

Registered at 1645 N TOWN EAST BLVD, STE 532, MESQUITE, TX 751504158 (Tel: 9726815936)

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Provider Name / Credentials Updated December 14, 2011

Recorded as GOTTFRED OLSEN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2011

Dentist (License #12609 in TX)

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Initial NPI Registration & Enumeration July 11, 2005

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: 1932107372
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2005
Last Update: December 14, 2011
Deactivation Date: January 28, 2022

Mailing Address

1645 N Town East Blvd, Ste 532

Mesquite, TX 751504158

Phone: 9726815936

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.