Individual provider · Type 1 NPI

Elise Odom, R.D.A

Dental Assistant · Harlingen, TX

NPI number 1194256115 Active

Practice location

2701 S 77 Sunshinestrip
Harlingen, TX 78550-8318

Fax (956) 430-9373

Mailing address

105 Dickey St
Fort Polk, LA 71459-3546

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000X35682 (TX)

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

2 other providers at this address

About NPI 1194256115

Elise Odom, R.D.A's National Provider Identifier is 1194256115, issued on Mar 22, 2017. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Harlingen, TX. The record was last updated on Mar 22, 2017.