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Active NPI 1952662041 Individual Practitioner Male Practitioner

Dr. Leonard Russell Odham , DDS

Dentist - General Practice • Fair Bluff, NC

Professional Overview & Biography Verified Profile Summary

Dr. Leonard Odham, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fair Bluff, NC. Practice services are available at 16 POWELL ST. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16 Powell St.

Fair Bluff, NC 284390368

Telephone 9106497222
Fax 9106497113
Associated Practice Facility / Clinic
🏢 Leonard R Odham Jr Dds Pa Facility NPI 1063556587

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fair Bluff, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Fair Bluff, NC (4047 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 NC 4101

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
8996472 (NC)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active June 05, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2012

Registered at 16 POWELL ST., FAIR BLUFF, NC 284390368 (Tel: 9106497222)

📍
Updated Business Mailing Address June 05, 2012

Registered at PO BOX 368, 16 POWELL ST., FAIR BLUFF, NC 284390368 (Tel: 9106497222)

👤
Provider Name / Credentials Updated June 05, 2012

Recorded as LEONARD ODHAM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2012

Dentist (License #4101 in NC)

🟢
Initial NPI Registration & Enumeration June 05, 2012

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: 1952662041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2012
Last Update: June 05, 2012
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

Po Box 368, 16 Powell St.

Fair Bluff, NC 284390368

Phone: 9106497222

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.