WILLIAM M ODOM, DDS,INC


Address: 5256 S Mission Rd, Suite 1101, Bonsall, CA 92003-3614
Phone: 7604537789

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
17850 CA Suppliers

Other Provider/Organization Names

Other Name Type Code
ODOM DENTAL SLEEP MEDICINE Doing Business As Name - Organization

Office Location

Street Address 5256 S MISSION RD
SUITE 1101
City BONSALL
State CA
Zip Code 92003-3614

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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1154933588 Iwalk Free, Inc. Durable Medical Equipment & Medical Supplies 130 N Marina Dr, Long Beach, CA 90803-4601 2020-08-18
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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
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Competitor

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City BONSALL
Zip Code 92003

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Dataset Information

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.

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