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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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