Dr. Phyllis A Odoom is a New London, Connecticut based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Phyllis A Odoom is 010355 for General Practice Dentistry in Connecticut. Her current practice location is 1 Shaws Cv, New London. Patients can reach her at 860-447-8304.
Dr. Phyllis A Odoom is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Phyllis A Odoom 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. Phyllis A Odoom
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1 Shaws Cv, New London, Connecticut, 06320-4902
Phone:
860-447-8304
Fax:
860-443-8720
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:
1205063674
NPI Enumeration Date:
12 Jun, 2009
NPI Last Update On:
19 Jan, 2011
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. Phyllis A Odoom are as mentioned below.
License Number
Specialization
State
Status
010355
General Practice Dentistry
Connecticut
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Phyllis A Odoom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004236354
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
635 Main St, Attn: Credentialing Dpt Middletown, Connecticut
Zip:
06457-2718
Phone Number:
860-347-6971
Fax Number:
860-638-6601
Patients can reach Dr. Phyllis A Odoom at 1 Shaws Cv, New London, Connecticut or can call to book an appointment on 860-447-8304. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.