OLYMPIA ORAL & MAXILLOFACIAL SURGERY
NPI 1699989749
Dentist - Oral and Maxillofacial Surgery in Olympia, WA

Active since May 09, 2007
3624 ENSIGN RD NE, OLYMPIA, WA 98506(360) 923-5412 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Olympia Oral & Maxillofacial Surgery NPPES

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

OLYMPIA ORAL & MAXILLOFACIAL SURGERY (NPI 1699989749) is a healthcare organization registered as an oral and maxillofacial surgery in Olympia, Washington and active in the NPI registry since May 2007. The organization lists Michael Ross Kelson, Member, as its authorized official.

NPPES Registry Identity

NPI1699989749
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMICHAEL R KELSON, DDS, PLLC
Location Address3624 ENSIGN RD NEOlympia, WA 98506-5074
Mailing Address3624 Ensign Rd NeOlympia, WA 98506-5074 · (360) 923-5412
Organization SubpartNo
Authorized OfficialMichael Ross KelsonMember · (360) 923-5412
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1699989749 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 WA · 7100
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.

3624 ENSIGN RD NE, Olympia, WA 98506

Other Names 1

Other NameOlympia Oral & Maxillofacial Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 18

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

Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Counselor (Mental Health)
3624 ENSIGN RD NE, SUITE 5
OLYMPIA, WA 98506
Anesthesiology
3624 ENSIGN RD NE, STE. B
OLYMPIA, WA 98506
Dentist (Oral and Maxillofacial Surgery)
3624 ENSIGN RD NE, SUITE A
OLYMPIA, WA 98506
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506
Anesthesiology
3624 ENSIGN RD NE, STE B
OLYMPIA, WA 98506

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 Michael R Kelson, Dds, PLLC's NPI number?

The NPI number for Michael R Kelson, Dds, PLLC is 1699989749. It was assigned to this organization in the NPPES registry on May 9, 2007. The provider is also known as Olympia Oral & Maxillofacial Surgery.

Where is Michael R Kelson, Dds, PLLC located?

Michael R Kelson, Dds, PLLC is located at 3624 Ensign Rd NE, Olympia, WA 98506. The listed phone number is (360) 923-5412.

What is Michael R Kelson, Dds, PLLC's specialty?

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

What insurance does Michael R Kelson, Dds, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Michael R Kelson, Dds, PLLC 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 Michael R Kelson, Dds, PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.