Provider Demographics
NPI:1245265933
Name:OLSON, RICHLUND DEAN (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHLUND
Middle Name:DEAN
Last Name:OLSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6930 S UNIVERSITY BLVD.
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-1598
Mailing Address - Country:US
Mailing Address - Phone:303-741-4600
Mailing Address - Fax:
Practice Address - Street 1:6930 S UNIVERSITY BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-1594
Practice Address - Country:US
Practice Address - Phone:303-741-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1057351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice