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DR. TANNER OLSON DDS
NPI 1518630607
Dentist - Pediatric Dentistry in San Rafael, CA

Active since July 26, 2021
3110 KERNER BLVD, SAN RAFAEL, CA 94901(701) 429-1464 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Jul 26, 2021 (2 updates tracked since 2021).

About Dr. Tanner Olson Dds NPPES

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

DR. TANNER OLSON DDS (NPI 1518630607) is an individual pediatric dentistry provider in San Rafael, California, licensed in California (110138) and active in the NPI registry since July 2021. He maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1518630607
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. TANNER OLSONCredential: DDS
Location Address3110 KERNER BLVDSan Rafael, CA 94901-5411
Mailing Address1728 9th AveSan Francisco, CA 94122-4702 · (701) 429-1464
Phone(701) 429-1464
Sole ProprietorYes
Enumeration DateJuly 26, 2021
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1518630607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 110138
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3110 KERNER BLVD, San Rafael, CA 94901
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Secondary Practice Location 1

Location 12445 Clement StSan Francisco, CA 94121-1921 · Phone (415) 668-0600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Humana, Paramount.Insurance ›

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.

EUNKYO CHO DDS
Dentist (General Practice)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
EMMELINE LUI RDH
Dental Hygienist
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
ALEXANDER DE JESUS CHAVARRIA
Social Worker (Clinical)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
DR. MARISSA WANG DMD
Dentist (General Practice)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (626) 297-0068
JOANNA GOBEA FNP
Nurse Practitioner (Family)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 755-2507
DR. PETER JOHN SIMON M.D.
Pediatrics
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
ABIGAIL PEREZ ACSW
Social Worker (Clinical)
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 448-1500
MARIN COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
3110 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 526-8500

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 Tanner Olson's NPI number?

The NPI number for Tanner Olson is 1518630607. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Tanner Olson located?

Tanner Olson practices at 3110 Kerner Blvd, San Rafael, CA 94901. The listed phone number is (701) 429-1464.

What is Tanner Olson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Tanner Olson accept?

Health plans from HRI Dental & Vision, Humana and Paramount list Tanner Olson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanner Olson was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.