IndividualActive
Kathleen Odell, DDS, MSD
NPI 1255544599 · Periodontics · Draper, UT
Provider details
- NPI number
- 1255544599
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS, MSD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DE60413286 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
826 E 12300 S Ste 2
Draper, UT 84020-8276
Phone: (801) 571-8821
Fax: (801) 998-8810
Approximate (ZIP-level) locationGet directions
Mailing address
5349 Holladay Blvd
Salt Lake City, UT 84117
Registry dates
- Enumerated
- 2007-05-07
- Last updated
- 2017-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.