Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790784338 Individual Practitioner Male Practitioner

Dr. William S Odom , DDS

Dentist - General Practice • Columbus, GA

Professional Overview & Biography Verified Profile Summary

Dr. William Odom, DDS is a registered healthcare professional specializing in Dentist - General Practice in Columbus, GA. Practice services are available at 424 9TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

424 9th St
Suite #1

Columbus, GA 319012895

Telephone 7063279936

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
66 Specialists

Practicing in Columbus, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA 10277

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00318029A (GA)
Commercial Insurance / Payer ID Wellcare-Doral
9181476
Commercial Insurance / Payer ID United Concordia
820713
Commercial Insurance / Payer ID Peachstate-Avesis
100661

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Donald Grider , DDS

Dentist - General Practice

NPI 1174537989

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 17, 2014

Registered at 424 9TH ST, SUITE #1, COLUMBUS, GA 319012895 (Tel: 7063279936)

📍
Updated Business Mailing Address December 17, 2014

Registered at 424 9TH ST, SUITE #1, COLUMBUS, GA 319012895 (Tel: 7063279936)

👤
Provider Name / Credentials Updated December 17, 2014

Recorded as WILLIAM ODOM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2014

Dentist (License #10277 in GA)

🟢
Initial NPI Registration & Enumeration July 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790784338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2005
Last Update: December 17, 2014
Sole Proprietor: Yes

Mailing Address

424 9th St, Suite #1

Columbus, GA 319012895

Phone: 7063279936

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.