Dr. Leonard Russell Odham Jr. is a Fair Bluff, North Carolina based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Leonard Russell Odham Jr. is
4101 for General Practice Dentistry in North Carolina. His current practice location is
16 Powell St., Fair Bluff. Patients can reach him at
910-649-7222.
Dr. Leonard Russell Odham Jr. is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Leonard Russell Odham Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Leonard Russell Odham Jr. |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 16 Powell St., Fair Bluff,
North Carolina, 28439-0368 |
| Phone: | 910-649-7222 |
| Fax: | 910-649-7113 |
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 are as mentioned below.
| NPI Number: | 1952662041 |
| NPI Enumeration Date: | 05 Jun, 2012 |
| NPI Last Update On: | 05 Jun, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Leonard Russell Odham Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 4101 | General Practice Dentistry | North Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Leonard Russell Odham Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8996472 | Medicaid | North Carolina | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 368, 16 Powell St.
Fair Bluff, North Carolina |
| Zip: | 28439-0368 |
| Phone Number: | 910-649-7222 |
| Fax Number: | 910-649-7113 |
Patients can reach Dr. Leonard Russell Odham Jr. at
16 Powell St., Fair Bluff, North Carolina or can
call to book an appointment on 910-649-7222.
Comments/ Reviews:
Read all the reviews posted for Dr. Leonard Russell Odham Jr. below. You may also share your own experience with Dr. Leonard Russell Odham Jr.. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.