NPI age
17 years
Enumerated 2008-06-30
● Active Type 2 · Organization
Mark S. Oliverson, D.M.D.
Mark S. Oliverson, D.M.D. is 1 of 202 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Oliverson
General Dentist
Last NPPES update
2014-10-09
Source: monthly bulk 2026-05
How this organization compares
Across 202 active clinic/center providers in Idaho.
NPI age
17 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-06Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
207 Margaret St
Salmon, ID 834674400
Mailing address
207 Margaret St
Salmon, ID 834674400
Authorized official
Mark S. Oliverson, D.M.D.
General Dentist
📞 2087562262
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Mark Oliverson, DMD Dentist NPI 1689797458
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807527500 | |
| 01 (ID) | 9202414 | IDAHO SMILES |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Salmon Dental Center PLLC
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.