Eldred Donald Olson , LICENSED DENTURIST
Denturist • Clarkston, WA
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, Eldred Olson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Eldred Olson, LICENSED DENTURIST was a registered Denturist practicing in Clarkston, WA. Throughout an active medical career spanning 17 years, Eldred Olson provided care at the practice location at 1346 12TH ST until profile deactivation on 2023-06-28.
Practice Location & Contact Primary Location
1346 12th St
Clarkston, WA 994032821
Specialty Benchmarks & Practice Insights
Comparative analytics for Denturist in Clarkston, WA
Practicing in Clarkston, WA (204 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122400000X
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Denturist
Licensed Dietitian
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 28, 2023
NPI status registered as active in NPPES database
Registered at 1346 12TH ST, CLARKSTON, WA 994032821 (Tel: 5097587805)
Registered at 1346 12TH ST, CLARKSTON DENTURIST CLINIC, CLARKSTON, WA 99403 (Tel: 5097587805)
Recorded as ELDRED OLSON, LICENSED DENTURIST
Denturist (License #DN00023 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1346 12th St, Clarkston Denturist Clinic
Clarkston, WA 99403
Phone: 5097587805
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