JUSTIN OLSEN DDS PLLC. – NPI #1790668713
Oral & Maxillofacial Surgery

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.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

JUSTIN OLSEN DDS PLLC. is an oral & maxillofacial surgeon located in SAN ANTONIO, TX. NPPES has assigned the NPI number 1790668713 to JUSTIN OLSEN DDS PLLC. on July 28, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was last updated on Jul 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JUSTIN OLSEN DDS PLLC. below.

NPI Profile for
JUSTIN OLSEN DDS PLLC.

NPI Number
1790668713
Enumeration Date

(about 10 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JUSTIN OLSEN DDS PLLC.
Primary location
15600 SAN PEDRO AVE STE 107
SAN ANTONIO, TX 78232-3738
Phone: (210) 490-4044 Fax: (210) 490-3512
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUSTIN OLSEN
OWNER
Phone: (435) 512-3442
Updated
Certification Date
Jul 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.