Harley Odden DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

FNP 2586 Issued in CA

Legal business name

HARLEY ODDEN DDS, INC

Practice address

40739 Grimmer Blvd
Fremont, CA 94538-2800

Phone

(510) 651-1440

Fax

(510) 651-1454

NPI assigned

Nov 6, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Harley Scott Odden, DDS

Title

President

Phone

(510) 651-1440

Specialties & licenses 1

Addresses

Other names 1

• Hillview Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie Susan Thomas, DMD

  • General Practice Dentistry
  • Fremont, CA
  • NPI 1154328854
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093884074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40739 GRIMMER BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382800",
            "telephone_number": "510-651-1440",
            "fax_number": "510-651-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40739 GRIMMER BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382800",
            "telephone_number": "510-651-1440",
            "fax_number": "510-651-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEY ODDEN DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODDEN",
        "authorized_official_first_name": "HARLEY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-651-1440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "FNP 2586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillview Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine S Harano, O.D.
• Mahmoud Hararah
• Megan Harcourt, M.S. CCC-SLP
• Coletta Hargis, M.D.
• Sam Hariz, D.D.S
• Harmohinder S Athwal Inc.
• Ruth Haro, PPS
• Ezra Jackson Harper
• Harpreet S Dhillon MD, Inc
• Jade Trinity Harris

• General Practice Dentistry in Fremont, CA
• Providers in Fremont, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.