Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KATHLEEN ODELL, DDS, MSD
Active Sole ProprietorDR. KATHLEEN ODELL, DDS, MSD is a Periodontology healthcare provider located in DRAPER, Utah. NPI 1255544599 is currently active in the NPPES registry. Verify at CMS.
Periodontology · DRAPER, UT
Registration Details
- NPI Number
- 1255544599
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2007 (19.230885544632 yrs)
- Last Updated
- Sep 7, 2017
- Licenses
-
DE60413286 (WA)143309-9923 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
826 E 12300 S STE 2DRAPER, UT, 840208276Browse UT providers · Browse ZIP 84020
- Phone
- 8015718821
- Fax
- 8019988810
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.