Provider Demographics
NPI:1821986779
Name:ODDEN, KALEB (DDS)
Entity type:Individual
Prefix:
First Name:KALEB
Middle Name:
Last Name:ODDEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 1ST ST NE APT 11
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-3331
Mailing Address - Country:US
Mailing Address - Phone:515-851-1791
Mailing Address - Fax:
Practice Address - Street 1:23 N FEDERAL AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-3250
Practice Address - Country:US
Practice Address - Phone:641-423-4225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-10381122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist