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Contact Information

MARK A ODOM DDS PA
1400 CRESCENT GREEN
SUITE 200
CARY, NC27518-8118
 Phone: 919-233-8830
 Fax: 919-233-7168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MARK A ODOM DDS PA

NPI # 1306018080
LBN Legal business name MARK A ODOM DDS PA
Authorized official MARK ODOM - (PRESIDENT ENDODONTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2008
Last updated 04/02/2008 - About 18 years ago
Identifiers
LA License # 3995
NC License # 5622
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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