BRADLEY OLSEN CDT
NPI 1225769227
Dental Therapist in Fairmont, MN

Active since June 21, 2022
717 S STATE ST STE 2, FAIRMONT, MN 56031(507) 235-5985 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley Olsen Cdt NPPES

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

BRADLEY OLSEN CDT (NPI 1225769227) is an individual dental therapist in Fairmont, Minnesota, licensed in Minnesota (DT150) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1225769227
Entity TypeIndividualMale
Primary Taxonomy125J00000X
Provider Legal NameBRADLEY OLSENCredential: CDT
Location Address717 S STATE ST STE 2Fairmont, MN 56031-4469
Mailing Address717 S State St Ste 2Fairmont, MN 56031-4469 · (507) 235-5985
Sole ProprietorNo
Enumeration DateJune 21, 2022
NPPES CertifiedJune 21, 2022
NPI 1225769227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License Licensed in MN · DT150
Definition
A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.
717 S STATE ST STE 2, Fairmont, MN 56031

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 Bradley Olsen's NPI number?

The NPI number for Bradley Olsen is 1225769227. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Bradley Olsen located?

Bradley Olsen practices at 717 S State St Ste 2, Fairmont, MN 56031. The listed phone number is (507) 235-5985.

What is Bradley Olsen's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Bradley Olsen was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.