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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.