WILLIAM M ODOM, DDS,INC (NPI# 1649679960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649679960 |
Entity Type | Organization |
Organization Name | WILLIAM M ODOM, DDS,INC |
Other Organization Name | ODOM DENTAL SLEEP MEDICINE |
Practice Address |
5256 S Mission Rd Suite 1101 Bonsall CA 92003-3614 |
Mailing Address |
330 Redwood Ave Carlsbad CA 92008-4055 |
Practice Telephone | 7604537789 |
Practice Fax Number | 7607296952 |
Mailing Telephone | 7604537789 |
Mailing Fax Number | 7607296952 |
Enumeration Date | 2014-08-22 |
Last Update Date | 2016-02-10 |
Authorized Official Name | DR. WILLIAM MARTIN ODOM III (PRESIDENT/DOCTOR/PROVIDER) |
Authorized Official Telephone | 7604537789 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
17850 | CA | Suppliers |
Other Name | Type Code |
---|---|
ODOM DENTAL SLEEP MEDICINE | Doing Business As Name - Organization |
Street Address |
5256 S MISSION RD SUITE 1101 |
City | BONSALL |
State | CA |
Zip Code | 92003-3614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235167305 | Neil W. Treister | Specialist | 5256 S Mission Rd, Suite 802, Bonsall, CA 92003-3614 | 2006-06-29 |
1407301559 | Vance Chiropractic, Inc. | Chiropractor | 5256 S Mission Rd, Ste 406, Bonsall, CA 92003-3614 | 2016-08-18 |
1235554684 | William Odom IIi | Dentist | 5256 S Mission Rd, 1101, Bonsall, CA 92003-3614 | 2014-02-21 |
1629336227 | Dr. Aimee Warren D.o., PC | Family Medicine | 5256 S Mission Rd, Bonsall, CA 92003-3614 | 2012-05-02 |
1588969547 | Randy D Carlson Dmd Adc and Charles L Drury Dds Aegd Apc | Dentist | 5256 S Mission Rd, Suite 1101, Bonsall, CA 92003-3614 | 2011-01-21 |
1912116765 | C. Greg Henderson Dc Inc A Chiropractic Corporation | Chiropractor | 5256 S Mission Rd, Suite 406, Bonsall, CA 92003-3614 | 2007-05-21 |
1114087517 | C. Greg Henderson | Chiropractor | 5256 S Mission Rd, #406, Bonsall, CA 92003-3614 | 2006-12-08 |
1508873282 | Randy Dennis Carlson | Dentist | 5256 S Mission Rd, Suite 1101, Bonsall, CA 92003-3624 | 2006-08-02 |
1851314199 | James F. Brinkman, Md, Inc. | Family Medicine | 5256 S Mission Rd, Ste 703-008, Bonsall, CA 92003-3614 | 2006-07-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477648046 | Tru-health Enterprises, Inc. | Chiropractor | 5523 Mission Rd, Ste C, Bonsall, CA 92003 | 2006-10-03 |
1740375286 | Derek Edward King | Chiropractor | 5523 Mission Rd, Ste C, Bonsall, CA 92003 | 2006-10-03 |
1770808115 | Synergy Healing Work | Physical Therapist | 32377 Leprechaun Ln, Bonsall, CA 92003-3204 | 2010-03-29 |
1033321666 | Harold Young | Chiropractor | 5523 Mission Rd Ste C, Bonsall, CA 92003-3612 | 2007-05-04 |
1346466646 | Temecula Valley Cardiology Medical Group, Inc | Internal Medicine | 5256 S. Mission Road, Suite 802, Bonsall, CA 92003-3623 | 2007-04-17 |
1003014093 | Charles Leo Drury | Dentist | 5256 S Misson Rd, Suite 1101, Bonsall, CA 92003-3624 | 2007-07-11 |
1013046093 | Brian M Smith | Dentist | 5256 S Mission Rd Ste 1103, Bonsall, CA 92003-3624 | 2007-03-05 |
1992344238 | Margaret Myers | Licensed Vocational Nurse | 5771 Galloway Pl, Bonsall, CA 92003-3802 | 2020-01-03 |
1982902367 | Michael Lucian Dumouchel | Student in an Organized Health Care Education/Training Program | 31916 Del Cielo Este Apt 32, Bonsall, CA 92003-3920 | 2011-03-08 |
1316298227 | Daniel Lang | Emergency Medical Technician, Paramedic | 31956 Del Cielo Este, Riverview Apt #32, Bonsall, CA 92003-3940 | 2012-10-02 |
Find all providers in zip 92003 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922609106 | Cerotto, Inc | Durable Medical Equipment & Medical Supplies | 1660 Chicago Ave Ste M9, Riverside, CA 92507-2052 | 2020-11-04 |
1568060481 | Aimee Trujillo Dds Inc | Durable Medical Equipment & Medical Supplies | 26302 La Paz Rd Ste 204, Mission Viejo, CA 92691-5328 | 2020-10-13 |
1154933588 | Iwalk Free, Inc. | Durable Medical Equipment & Medical Supplies | 130 N Marina Dr, Long Beach, CA 90803-4601 | 2020-08-18 |
1578171575 | Eagle Medical Packaging Sterilization Inc | Durable Medical Equipment & Medical Supplies | 2921 Union Rd, Paso Robles, CA 93446-7316 | 2020-07-16 |
1629696166 | American Surgical Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 17581 Irvine Blvd Ste 116, Tustin, CA 92780-3123 | 2020-07-10 |
1942828694 | Cencal Medical, Inc. | Durable Medical Equipment & Medical Supplies | 220 S Akers St Ste C, Visalia, CA 93291-5185 | 2020-07-09 |
1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
1225659873 | I2b Networks, Inc | Durable Medical Equipment & Medical Supplies | 8830 Complex Dr, San Diego, CA 92123-1404 | 2020-05-05 |
1811522592 | Precision Patient Outcomes, Inc. | Durable Medical Equipment & Medical Supplies | 808 Gilman St, Berkeley, CA 94710-1422 | 2020-03-03 |
1114551843 | Rac & Associates, Inc | Durable Medical Equipment & Medical Supplies | 42389 Winchester Rd, Temecula, CA 92590-4851 | 2020-03-03 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on WILLIAM M ODOM, DDS,INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.