DR. KELLY J. OLSEN D.D.S.
NPI 1407902950
Dentist - General Practice in St George, UT

Q: What is Kelly Olsen's NPI number?

The NPI number for Kelly Olsen is 1407902950. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Kelly Olsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Olsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 26, 2007PECOS Enrolled

321 N MALL DR, SUITE #D101, ST GEORGE, UT 84790(435) 628-5496(435) 628-6285 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kelly J. Olsen D.d.s. NPPES

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

DR. KELLY J. OLSEN D.D.S. (NPI 1407902950) is an individual general practice provider in St George, Utah, licensed in Utah (309573) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407902950

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KELLY J. OLSENCredential: D.D.S.

Location Address321 N MALL DR, SUITE #D101St George, UT 84790-7302

Mailing Address321 N Mall Dr, Suite #d101St George, UT 84790-7302 · (435) 628-5496 · Fax (435) 628-6285

Phone(435) 628-5496

Fax(435) 628-6285

Sole ProprietorYes

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407902950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 309573

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

321 N MALL DR, St George, UT 84790

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly J. Olsen D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

DIANE B. ROWE L.C.S.W.

Social Worker (Clinical)

321 N MALL DR, BLDG I 102
ST GEORGE, UT 84790

Washington County (435) 652-9428

RED CLIFFS DENTAL

Dentist (General Practice)

321 N MALL DR
ST GEORGE, UT 84790

Washington County (435) 628-5496

ACCURATE HEARING CLINICS

Hearing Aid Equipment

321 N MALL DR, STE 102
ST GEORGE, UT 84790

Washington County (435) 627-9913

DAVID BRENT TATE PH.D.

Psychologist (Counseling)

321 N MALL DR, SUITE I-201
ST GEORGE, UT 84790

Washington County (435) 656-0506

JEAN GOODE LCSW

Social Worker (Clinical)

321 N MALL DR, SUITE I-102
ST GEORGE, UT 84790

Washington County (435) 632-1226

ALPHA OMEGA HOSPICE LLC

Hospice Care, Community Based

321 N MALL DR, SUITE R277
ST GEORGE, UT 84790

Washington County (435) 674-6777

MR. IRVIN PAUL DUNSDON

Massage Therapist

321 N MALL DR, BLDG I #102
ST GEORGE, UT 84790

Washington County (435) 216-8785

STERLING DOWNER

Marriage & Family Therapist

321 N MALL DR
ST GEORGE, UT 84790

Washington County (435) 632-7729

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 Kelly Olsen's NPI number?

The NPI number for Kelly Olsen is 1407902950. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Kelly Olsen located?

Kelly Olsen practices at 321 N Mall Dr Suite #d101, St George, UT 84790. The listed phone number is (435) 628-5496.

What is Kelly Olsen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kelly Olsen enrolled in Medicare?

Yes. Kelly Olsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Olsen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.