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Dr. Leonard Russell Odham JR., DDS
General Practice Dentistry in Fair Bluff, North Carolina
NPI 1952662041

Leonard Russell Odham JR. is a General Practice Dentistry based in Fair Bluff, NC and is specialized in General Practice. Leonard Russell Odham JR. practices in Fair Bluff, NC and has the professional credentials of DDS. The NPI Number for Leonard Russell Odham JR. is 1952662041 and holds a License No. 4101 (North Carolina).

The current practice location address for Leonard Russell Odham JR. is 16 Powell St., Fair Bluff, NC and can be reached out via phone at 910-649-7222 and via fax at 910-649-7113.

Location: 16 Powell St., Fair Bluff, NC, 28439-0368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952662041
Provider Name
Leonard Russell Odham JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
16 Powell St., Fair Bluff, NC, 28439-0368
Phone Number
910-649-7222
Fax Number
910-649-7113
Provider Enumeration Date
06/05/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8996472 05 NC
institution
Provider Business Practice Location Address Details
Address
16 Powell St.
City
Fair Bluff
State
North Carolina
Zip
28439-0368
Phone Number
910-649-7222
Fax Number
910-649-7113
person
Provider Business Mailing Address Details
Address
16 Powell St.
City
Fair Bluff
State
North Carolina
Zip
28439-0368
Phone Number
910-649-7222
Fax Number
910-649-7113
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
4101 (North Carolina)
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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