TAD OLSEN
NPI 1144756016
Dentist in Mesa, AZ

Active since May 11, 2017
1130 S COUNTRY CLUB DR, MESA, AZ 85210(480) 461-9866 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tad Olsen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAD OLSEN (NPI 1144756016) is an individual dentist in Mesa, Arizona, licensed in Arizona (D009695) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1144756016
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTAD OLSEN
Location Address1130 S COUNTRY CLUB DRMesa, AZ 85210-4639
Mailing Address1293 S 480 WSalem, UT 84653-9108 · (801) 420-1933
Sole ProprietorNo
Enumeration DateMay 11, 2017
NPI 1144756016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · D009695
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1130 S COUNTRY CLUB DR, Mesa, AZ 85210

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
1130 S COUNTRY CLUB DR, SUITE 101
MESA, AZ 85210
Dentist
1130 S COUNTRY CLUB DR
MESA, AZ 85210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144756016, enumerated as an "individual" on May 11, 2017.

The provider is located at 1130 S COUNTRY CLUB DR MESA, AZ 85210 and the phone number is (480) 461-9866.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, BEST Life,. Please consult your insurance carrier or call the provider to verify.