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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.