DR. PHYLLIS A ODOOM DDS
NPI 1205063674
Dentist - General Practice in New London, CT

Active since June 12, 2009
1 SHAWS CV, NEW LONDON, CT 06320(860) 447-8304(860) 443-8720 Get Directions Write a Review

NPPES record last updated: January 19, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Phyllis A Odoom Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHYLLIS A ODOOM DDS (NPI 1205063674) is an individual general practice provider in New London, Connecticut, licensed in Connecticut (010355) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1205063674
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHYLLIS A ODOOMCredential: DDS
Location Address1 SHAWS CVNew London, CT 06320-4902
Mailing Address635 Main St, Attn: Credentialing DptMiddletown, CT 06457-2718 · (860) 347-6971 · Fax (860) 638-6601
Fax(860) 443-8720
Sole ProprietorNo
Enumeration DateJune 12, 2009
Last NPPES UpdateJanuary 19, 2011
NPI 1205063674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CT · 010355
Definition

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.

1 SHAWS CV, New London, CT 06320

Other Identifiers 1

Medicaid004236354CT

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1 SHAWS CV
NEW LONDON, CT 06320
Nurse Practitioner
1 SHAWS CV
NEW LONDON, CT 06320
Dental Hygienist
1 SHAWS CV
NEW LONDON, CT 06320
Nurse Practitioner (Family)
1 SHAWS CV
NEW LONDON, CT 06320
Registered Nurse
1 SHAWS CV
NEW LONDON, CT 06320
Counselor (Professional)
1 SHAWS CV
NEW LONDON, CT 06320
Nurse Practitioner (Psychiatric/Mental Health)
1 SHAWS CV
NEW LONDON, CT 06320
Psychologist (Clinical)
1 SHAWS CV
NEW LONDON, CT 06320

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Odoom's NPI number?

The NPI number for Phyllis Odoom is 1205063674. It was assigned to this individual provider in the NPPES registry on June 12, 2009.

Where is Phyllis Odoom located?

Phyllis Odoom practices at 1 Shaws Cv, New London, CT 06320. The listed phone number is (860) 447-8304.

What is Phyllis Odoom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Phyllis Odoom accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Phyllis Odoom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phyllis Odoom was last updated on January 19, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.