JAMEL D. ODEH DDS PA (NPI# 1982637807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982637807 |
| Entity Type | Organization |
| Organization Name | JAMEL D. ODEH DDS PA |
| Practice Address |
4119 Walker Ave Greensboro NC 27407-1315 |
| Practice Telephone | 3362942322 |
| Practice Fax Number | 3362942323 |
| Mailing Telephone | 3362942322 |
| Mailing Fax Number | 3362942323 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2017-03-13 |
| Authorized Official Name | DR. JAMEL D ODEH (OWNER/DENTIST) |
| Authorized Official Telephone | 3362942322 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6163 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5901367 | 05 |
| Street Address |
4119 WALKER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104854744 | Barry A Maynor | Dentist | 4119 Walker Ave, Greensboro, NC 27407-1315 | 2006-06-30 |
| 1316402498 | Kommineni Dds and Associates Pllc | Dentist | 4119 Walker Ave, Greensboro, NC 27407-1315 | 2019-02-04 |
| 1770653065 | Jamel Deeb Odeh | Dentist | 4119 Walker Ave, Greensboro, NC 27407-1315 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| 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 |
|---|---|---|---|---|
| 1467076976 | Vanessa Catherina Knox | Dentist | 4496 Veranda Lake Ct, Greensboro, NC 27409-9244 | 2020-05-31 |
| 1710522065 | Georgia Dental Alliance of Greensboro | Dentist | 1041 Parkside Cmns Ste 104, Greensboro, GA 30642-4519 | 2019-11-11 |
| 1720632946 | Elizabeth B Mcmichael | Dentist | 2321 Battleground Ave, Greensboro, NC 27408-5422 | 2019-07-25 |
| 1609347731 | Thomas J Bagley D.d.s., P.a. | Dentist | 2729 Horse Pen Creek Rd Ste 103, Greensboro, NC 27410-8396 | 2018-12-16 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1578054557 | Koelling Johnstun & Associates Pllc | Dentist | 2643 Randleman Rd, Greensboro, NC 27406-5153 | 2018-05-24 |
| 1891293205 | Drs Roberts Reimels and Kashyap Pllc | Dentist | 1126 N Church St Ste 102, Greensboro, NC 27401-1035 | 2018-01-31 |
| 1689031783 | M. Thomas Jones Dmd, Pa | Dentist | 5710 W Gate City Blvd Ste R, Greensboro, NC 27407-7047 | 2016-01-20 |
| 1255710646 | Travis Andrew Bell | Dentist | 526 N Elam Ave Ste 201, Greensboro, NC 27403-1132 | 2015-05-19 |
| 1104218007 | Koelling & Associates Pllc | Dentist | 510 Nicholas Rd, F, Greensboro, NC 27409-3399 | 2015-03-02 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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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.