P Praxis·MD
● Active Type 1 · Individual

DR. Mark Olsen, D.D.S.

Dentist·Star, ID· NPI 1780816652 · Enumerated 2009 · 16 years on NPI
Olsen is 1 of 2 dentist providers in Star and 1 of 114 in Idaho.
NPI age
16 years
Enumerated 2009-08-11
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-02-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 114 active dentist providers in Idaho.

NPI age
16 years
↑ 3 yr above median (13 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-08Enumerated in NPPES
2009 2026

Where they practice

Practice location
12192 Evely Pines Ln
Star, ID 83669
📞 2089109000
Mailing address
12192 Evely Pines Ln
Star, ID 83669
📞 2089109000

Specialties

  • Dentist Primary
    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.
    ID license #D-5015-PD taxonomy 1223P0221X
  • Dentist
    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.
    UT license #7371240-9921 taxonomy 1223G0001X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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