Jack Robert Olson, DDS Valid NPI
Individual provider · General Practice Dentistry · Kings Bay, GA
- NPI
- 1518889179
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- DDS-10497 (IA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2026-07-27
- Last updated
- 2026-07-27
Practice location
871 Uss James Madison Rd
Kings Bay, GA 31547
(912) 573-4212