Leonard R Odham Jr Dds Pa is a Dental Clinic in Fair Bluff, North Carolina. It is located at 16 Powell St, Fair Bluff, NC and its contact number is 910-649-7222. The authorized person for Leonard R Odham Jr Dds Pa is Dr. Leonard Russell Odham Jr.
who is Pres of the clinic and their contact number is 910-649-1222. The primary license number for Leonard R Odham Jr Dds Pa is 4101 (Dentist) in North Carolina. Leonard R Odham Jr Dds Pa Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Leonard R Odham Jr Dds Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Leonard R Odham Jr Dds Pa
Specialization:
Dentistry
Clinic Address:
16 Powell St, Fair Bluff, North Carolina, 28439
Phone:
910-649-7222
Fax:
910-649-7113
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Leonard Russell Odham Jr.
Position:
Pres
Contact Number:
910-649-1222
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Leonard R Odham Jr Dds Pa clinic are as mentioned below.
NPI Number:
1063556587
NPI Enumeration Date:
16 Feb, 2007
NPI Last Update On:
29 May, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Leonard R Odham Jr Dds Pa are as mentioned below.
Specialization
License Number
State
Status
Dentist
4101
North Carolina
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8996472
Medicaid
North Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Leonard R Odham Jr Dds Pa Po Box 368, Fair Bluff, North Carolina
Zip:
28439
Phone Number:
910-649-7222
Fax Number:
910-649-7113
Patients can reach Leonard R Odham Jr Dds Pa at 16 Powell St, Fair Bluff, North Carolina or can call to book an appointment on 910-649-7222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.