Odum, Richardson Michael
Odum, Richardson Michael is an individual health care provider with primary practice located at 271 Heritage Walk , Woodstock GA 30188-3876. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Odum, Richardson Michael can be contacted via phone (770) 924-0423.Contact Information
Primary practice address
271 Heritage Walk
Woodstock GA 30188-3876
Phone: (770) 924-0423
Fax: (770) 924-9222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 10232 | Georgia |
Profile Details
| NPI number | 1962522110 |
|---|---|
| LBN Legal business name | Odum, Richardson Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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