O'Dell, Samuel Douglas

O'Dell, Samuel Douglas is an individual health care provider with primary practice located at 3712 Teays Valley Road , Hurricane WV 25526. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. O'Dell, Samuel Douglas can be contacted via phone (304) 757-9389.

Contact Information

Primary practice address
3712 Teays Valley Road Hurricane WV 25526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3684 West Virginia

Profile Details

NPI number 1497891493
LBN Legal business name O'Dell, Samuel Douglas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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