Dr. Reginald Odom, DDS - Chicago, IL

Dr. Reginald Odom, DDS

General Practice Dentistry in Chicago, Illinois

NPI 1548329386

Reginald Odom is a General Practice Dentistry based in Chicago, IL and is specialized in General Practice. Reginald Odom practices in Chicago, IL and has the professional credentials of DDS. The NPI Number for Reginald Odom is 1548329386 and holds a License No. 019021471 (Illinois).

The current practice location address for Reginald Odom is 4109 W 47Th St, Chicago, IL and can be reached out via phone at 773-847-6740 and via fax at 773-874-6745.

Location: 4109 W 47Th St, Chicago, IL, 60628-5740

NPI Number

1548329386

Provider Name

Reginald Odom

Credential

DDS

Provider Entity Type

Individual

Gender

Male

Address

4109 W 47Th St, Chicago, IL, 60628-5740

Phone Number

773-847-6740

Fax Number

773-874-6745

Provider Enumeration Date

12/07/2006

Last Update Date

03/08/2024

Address

4109 W 47Th St

City

Chicago

State

Illinois

Zip

60632-4101

Phone Number

773-847-6740

Fax Number

773-874-6745

Address

4109 W 47Th St

City

Chicago

State

Illinois

Zip

60632-4101

Phone Number

773-847-6740

Fax Number

773-874-6745

Type

Dental Providers

Classification

Dentist

Speciality

General Practice

Taxonomy

1223G0001X

License No.

019021471 (Illinois)

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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