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MARK A ODOM DDS PA NPI 1306018080


NPI Information

NPI: 1306018080
Provider Name: MARK A ODOM DDS PA
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
1400 CRESCENT GREEN
SUITE 200
CARY, NC
ZIP 27518
Phone: (919) 233-8830
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MARK A ODOM DDS PA is an endodontics dentist in Cary, NC. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. MARK A ODOM DDS PA NPI is 1306018080. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 CRESCENT GREEN
SUITE 200
CARY, NC
ZIP 27518-118
Phone: (919) 233-8830
Fax: (919) 233-7168

The provider's authorized official is Mark A Odom .
The authorized official title is President Endodontist and has the following contact phone number (919) 233-8830.

The enumeration date for this NPI number is 4/2/2008 and was last updated on 4/2/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics3995LOUISIANANo
21223E0200XDentistEndodontics5622NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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