Individual provider · Type 1 NPI
Kathleen Odell, DDS, MSD
Periodontics · Draper, UT
NPI number
1255544599
Active
Practice location
826 E 12300 S Ste 2
Draper, UT 84020-8276
Fax (801) 998-8810
Mailing address
5349 Holladay Blvd
Salt Lake City, UT 84117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | DE60413286 (WA) |
| Periodontics Primary | 1223P0300X | 143309-9923 (UT) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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- Sarah Felt, DEMLay Midwife Draper, UT NPI 1629798640
About NPI 1255544599
Kathleen Odell, DDS, MSD's National Provider Identifier is 1255544599, issued on May 7, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Draper, UT. The record was last updated on Sep 7, 2017.