Odom, William S

Odom, William S is an sole proprietor health care provider with primary practice located at 424 9Th St Suite #1, Columbus GA 31901-2895. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Odom, William S can be contacted via phone (706) 327-9936.

Contact Information

Primary practice address
424 9Th St Suite #1 Columbus GA 31901-2895
Phone: (706) 327-9936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 10277 Georgia

Profile Details

NPI number 1790784338
LBN Legal business name Odom, William S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2005
Last updated Dec 17th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790784338 NPPES
Other 9181476 WELLCARE-DORAL
Other 820713 WELLCARE-DORAL
MEDICAID 00318029A WELLCARE-DORAL
Other 100661 WELLCARE-DORAL

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