ODA, LLC (NPI# 1861717654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861717654 |
| Entity Type | Organization |
| Organization Name | ODA, LLC |
| Practice Address |
2728 Westmoor Ct Sw Ste C Olympia WA 98502-5779 |
| Practice Telephone | 3604928444 |
| Practice Fax Number | 3604918444 |
| Mailing Telephone | 3604928444 |
| Mailing Fax Number | 3604918444 |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |
| Authorized Official Name | RODNEY DALE JOHNSTON (PRESIDENT) |
| Authorized Official Telephone | 2069792660 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2728 WESTMOOR CT SW STE C |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-5779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770120792 | Ann Patrice Sabatino | Dentist | 423 38th Ave Ne, Olympia, WA 98506-2417 | 2019-12-09 |
| 1003331331 | Jj Dental LLC | Dentist | 2417 Pacific Ave Se # 1a, Olympia, WA 98501-2052 | 2017-08-08 |
| 1114393360 | Trent Miner | Dentist | 2728 Westmoor Ct Sw, Olympia, WA 98502-5779 | 2015-08-11 |
| 1659712669 | Daniel Michael Walsh | Dentist | 3773c Martin Way E, Olympia, WA 98506-5062 | 2013-07-08 |
| 1154766228 | Nurani, Mitchell, Kim, PC | Dentist | 1530 Black Lake Blvd Sw Ste A103, Olympia, WA 98502-5612 | 2013-05-02 |
| 1205193786 | Lilly Road Family Dentistry | Dentist | 220 Lilly Rd Ne Ste B, Olympia, WA 98506-6101 | 2012-04-20 |
| 1124307590 | Leah Olson | Dentist | 1800 Cooper Point Rd Sw Ste 23, Olympia, WA 98502-1179 | 2011-08-16 |
| 1396079141 | David Charles Goerig | Dentist | 408 Lilly Rd Ne Ste A, Olympia, WA 98506-6954 | 2009-09-28 |
| 1902056260 | Garret Masaichi Yamaguchi | Dentist | 108 22nd Ave Sw Ste 24, Olympia, WA 98501-2871 | 2008-09-23 |
| 1497904858 | Eugene H. Peeples, Dds | Dentist | 1000 Union Ave Se Ste 101, Olympia, WA 98501-1589 | 2008-09-10 |
| Find all providers in OLYMPIA | ||||
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| 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.