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WAYNE L. OLSEN DDS
NPI 1215984216
Dentist - Oral and Maxillofacial Surgery in Traverse City, MI

Active since May 27, 2006
12776 S WEST BAY SHORE DR, TRAVERSE CITY, MI 49684(231) 946-3512(231) 946-1908 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Wayne L. Olsen Dds NPPES

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

WAYNE L. OLSEN DDS (NPI 1215984216) is an individual oral and maxillofacial surgery provider in Traverse City, Michigan, licensed in Michigan (2901018277) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1215984216
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameWAYNE L. OLSENCredential: DDS
Location Address12776 S WEST BAY SHORE DRTraverse City, MI 49684-5451
Mailing Address3368 Holiday Village RdTraverse City, MI 49686-3996 · (231) 938-1953 · Fax (231) 946-1908
Phone(231) 946-3512
Fax(231) 946-1908
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateDecember 27, 2007
✔ NPI 1215984216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 2901018277
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
12776 S WEST BAY SHORE DR, Traverse City, MI 49684
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Other Identifiers 5

Other1003095605MI · Npi Group #
Medicare UPINU89248MI
Medicaid4373146MI
Medicaid4370725MI
Medicare ID-Type Unspecified0P21110MI · Wps Group Number

Other Providers at the Same Location NPPES 8

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

GRAND TRAVERSE ORAL SURGERY, P.C.
Dentist (Oral and Maxillofacial Surgery)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-3512
NORTHWAY AND HALL ORTHODONTICS PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-0070
DR. JASON F HALL D.D.S.,M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-0070
DR. BRUCE CARTER LEE D.D.S.
Dentist (General Practice)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 929-0522
DR. WILLIAM M NORTHWAY D.D.S.,M.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-0070
DR. DANIEL MADION DDS, MD
Dentist (Oral and Maxillofacial Surgery)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-3512
DAVID W. HOWARD DDS
Dentist (Oral and Maxillofacial Surgery)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-3512
CRAIG H FOUNTAIN DDS
Dentist (Oral and Maxillofacial Surgery)
12776 S WEST BAY SHORE DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 946-3512

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne Olsen's NPI number?

The NPI number for Wayne Olsen is 1215984216. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Wayne Olsen located?

Wayne Olsen practices at 12776 S West Bay Shore Dr, Traverse City, MI 49684. The listed phone number is (231) 946-3512.

What is Wayne Olsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Wayne Olsen was last updated on December 27, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.