Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JACK ROBERT OLSON DDS
NPI 1518889179
Dentist - General Practice in Kings Bay, GA

Active since July 27, 2026
871 USS JAMES MADISON RD, KINGS BAY, GA 31547(912) 573-4212 Get Directions Write a Review

NPPES record added: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Robert Olson Dds NPPES

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

JACK ROBERT OLSON DDS (NPI 1518889179) is an individual general practice provider in Kings Bay, Georgia, licensed in Iowa (DDS-10497) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1518889179
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACK ROBERT OLSONCredential: DDS
Location Address871 USS JAMES MADISON RDKings Bay, GA 31547
Mailing Address3113 W Miramar CirSioux Falls, SD 57108-1507 · (605) 951-7667
Sole ProprietorNo
Enumeration DateJuly 27, 2026
NPPES CertifiedJuly 9, 2026
NPI 1518889179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · DDS-10497
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.
871 USS JAMES MADISON RD, Kings Bay, GA 31547

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
871 USS JAMES MADISON RD
KINGS BAY, GA 31547

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 Jack Olson's NPI number?

The NPI number for Jack Olson is 1518889179. It was assigned to this individual provider in the NPPES registry on July 27, 2026.

Where is Jack Olson located?

Jack Olson practices at 871 Uss James Madison Rd, Kings Bay, GA 31547. The listed phone number is (912) 573-4212.

What is Jack Olson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Olson was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.