JUSTIN OLSEN DDS PLLC.
NPI 1790668713
Oral & Maxillofacial Surgery in San Antonio, TX

Active since July 28, 2025
15600 SAN PEDRO AVE STE 107, SAN ANTONIO, TX 78232(210) 490-4044(210) 490-3512 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Justin Olsen Dds Pllc. NPPES

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

JUSTIN OLSEN DDS PLLC. (NPI 1790668713), doing business as Mission Oral Surgery And Implant Center, is a healthcare organization registered as an oral & maxillofacial surgery in San Antonio, Texas and active in the NPI registry since July 2025. The organization lists Justin Olsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1790668713
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameJUSTIN OLSEN DDS PLLC.
Location Address15600 SAN PEDRO AVE STE 107San Antonio, TX 78232-3738
Mailing Address15600 San Pedro Ave Ste 107San Antonio, TX 78232-3738 · (210) 490-4044
Fax(210) 490-3512
Organization SubpartNo
Authorized OfficialJustin OlsenOwner · (435) 512-3442
Enumeration DateJuly 28, 2025
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1790668713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
15600 SAN PEDRO AVE STE 107, San Antonio, TX 78232

Other Names 1

Doing Business AsMission Oral Surgery And Implant Center

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

Other Providers at the Same Location NPPES 2

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

Oral & Maxillofacial Surgery
15600 SAN PEDRO AVE STE 107
SAN ANTONIO, TX 78232
Dentist (Oral and Maxillofacial Surgery)
15600 SAN PEDRO AVE STE 107
SAN ANTONIO, TX 78232

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 Justin Olsen Dds PLLC.'s NPI number?

The NPI number for Justin Olsen Dds PLLC. is 1790668713. It was assigned to this organization in the NPPES registry on July 28, 2025. The provider is doing business as Mission Oral Surgery and Implant Center.

Where is Justin Olsen Dds PLLC. located?

Justin Olsen Dds PLLC. is located at 15600 San Pedro Ave Ste 107, San Antonio, TX 78232. The listed phone number is (210) 490-4044.

What is Justin Olsen Dds PLLC.'s specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Justin Olsen Dds PLLC. was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.