Dr Colton David Odle, DMD is a
Student In An Organized Health Care Education/training Program based in Louisville, Kentucky. Dr Colton David Odle is licensed to practice in * (Not Available) (license number ) and his current practice location is
501 S Preston St Rm 148, Louisville, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 852-3534.
NPI number for Dr Colton David Odle is 1538780325 and his current mailing address is 501 S Preston St Rm 148, Louisville, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538780325.
Healthcare Provider's Profile
| Full Name | Dr Colton David Odle |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 501 S Preston St Rm 148, Louisville, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538780325
- Provider Enumeration Date: 05/03/2020
- Last Update Date: 06/03/2021
Medical Identifiers
Medical identifiers for Dr Colton David Odle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538780325 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DEN.00204688 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Colton David Odle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Colton David Odle, DMD
501 S Preston St Rm 148,
Louisville, KY 40202-1701
Ph: (502) 852-3534 | Dr Colton David Odle, DMD
501 S Preston St Rm 148,
Louisville, KY 40202-1701
Ph: (502) 852-3534 |
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