DR. MARK OLSEN D.D.S.
NPI 1780816652
Dentist - Pediatric Dentistry in Star, ID

Q: What is Mark Olsen's NPI number?

The NPI number for Mark Olsen is 1780816652. It was assigned to this individual provider in the NPPES registry on August 11, 2009.

Q: What is Mark Olsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Olsen was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 11, 2009

12192 EVELY PINES LN, STAR, ID 83669(208) 910-9000 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark Olsen D.d.s. NPPES

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

DR. MARK OLSEN D.D.S. (NPI 1780816652) is an individual pediatric dentistry provider in Star, Idaho, licensed in Idaho (D-5015-PD) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1780816652

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. MARK OLSENCredential: D.D.S.

Location Address12192 EVELY PINES LNStar, ID 83669

Mailing Address12192 Evely Pines LnStar, ID 83669 · (208) 910-9000

Phone(208) 910-9000

Sole ProprietorNo

Enumeration DateAugust 11, 2009

Last NPPES UpdateFebruary 20, 2020

✔ NPI 1780816652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in ID · D-5015-PD

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 7371240-9921 (UT)

12192 EVELY PINES LN, Star, ID 83669

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Mark Olsen's NPI number?

The NPI number for Mark Olsen is 1780816652. It was assigned to this individual provider in the NPPES registry on August 11, 2009.

Where is Mark Olsen located?

Mark Olsen practices at 12192 Evely Pines Ln, Star, ID 83669. The listed phone number is (208) 910-9000.

What is Mark Olsen's specialty?

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

What insurance does Mark Olsen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Mark Olsen 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 Mark Olsen was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.