Dr. William S Odom Jr., D.D.S.
Dentist, General Practice in Columbus, GA. Individual provider (NPI-1).
NPI number1790784338
StatusActive
Last updated in NPPESDec 17, 2014
Details
- NPI
- 1790784338
- Entity type
- Individual (NPI-1)
- Name
- Dr. William S Odom Jr.
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2005
- Last updated
- Dec 17, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - ORAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 10277 | GA | Yes |
Practice location
424 9th StSuite #1
Columbus, GA 31901-2895
Phone 706-327-9936
Mailing address
424 9th StSuite #1
Columbus, GA 31901-2895
Phone 706-327-9936
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