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General NPI Number Information
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NPI Number | 1003765397
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Entity Type | Organization
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Legal Business Name | ODDEN DENTAL GROUP, P.C.
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 227 S STATE ST
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City | MADRID
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State | IA
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Zip | 50156-1319
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Country | US
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Telephone | 515-795-8227
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Fax |
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Provider Business Mailing Address
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Address Line | 1105 RIDGEWOOD DR
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City | HUXLEY
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State | IA
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Zip | 50124-4703
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Country | US
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Telephone | 515-851-1791
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | KALEB ODDEN
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Credential | DDS
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Telephone | 515-851-1791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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