Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT LEON ODEGARD, DDS, MAGD

Active Sole Proprietor

ROBERT LEON ODEGARD, DDS, MAGD is a General Dentistry healthcare provider located in RENTON, Washington. NPI 1457421141 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · RENTON, WA

Registration Details

NPI Number: 1457421141
Provider Type: Individual
Gender: Male
NPI Issued: Nov 9, 2006 (19.579986715325 yrs)
Last Updated: Jul 8, 2007
License: DE00006433 (WA)
Sole Proprietor: Yes

Practice Information

Address: 451 DUVALL AVE NE

SUITE 240

RENTON, WA, 980594675
Browse WA providers · Browse ZIP 98059
Phone: 4252774000
Fax: 4252262940
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in RENTON, WA

Name	Credential	NPI
DR. KIRK E KING	DDS	1497758148
DR. JACY CRAIG NELSON	D.D.S.	1225015977
THOMAS A CASPERS	DDS	1770510992
DR. CALEN H. BROADBENT	DMD	1841219946
DR. KEVIN T LE	—	1194748889
DR. THANH DUNG NGOC NGUYEN	D.M.D.	1013931120

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.