Individual ProviderPaul M OdlandDentistDental ProvidersPractice Address2306 S Broadway St, Alexandria, MN 56308-3459(320) 762-5216PECOS EnrollmentBased on the most recent information from CMS, provider Paul M Odland does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1053431668Provider TypeIndividualFull NameOdland, Paul MTitleDr.GenderMaleSole ProprietorNoEnumeration Date3/29/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2306 S Broadway St, Alexandria, MN 56308-3459Phone(320) 762-5216FaxUnlisted FaxMailing LocationMailing Address2614 County Road 120 NE, Alexandria, MN 56308-7920Phone(320) 762-5216FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense9910Minnesota