DR. REGINALD ODOM DDS
NPI 1548329386
Dentist - General Practice in Chicago, IL

Q: What is Reginald Odom's NPI number?

The NPI number for Reginald Odom is 1548329386. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Q: What is Reginald Odom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Reginald Odom was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 07, 2006

4109 W 47TH ST, CHICAGO, IL 60632(773) 847-6740(773) 874-6745 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Reginald Odom Dds NPPES

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

DR. REGINALD ODOM DDS (NPI 1548329386) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019021471) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1548329386

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. REGINALD ODOMCredential: DDS

Location Address4109 W 47TH STChicago, IL 60632-4101

Mailing Address570 E 115th StChicago, IL 60628-5740 · (773) 768-5000

Phone(773) 847-6740

Fax(773) 874-6745

Sole ProprietorYes

Enumeration DateDecember 7, 2006

Last NPPES UpdateFebruary 29, 2016

✔ NPI 1548329386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019021471

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.

4109 W 47TH ST, Chicago, IL 60632

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Reginald Odom's NPI number?

The NPI number for Reginald Odom is 1548329386. It was assigned to this individual provider in the NPPES registry on December 7, 2006.

Where is Reginald Odom located?

Reginald Odom practices at 4109 W 47th St, Chicago, IL 60632. The listed phone number is (773) 847-6740.

What is Reginald Odom's specialty?

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

What insurance does Reginald Odom accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Reginald Odom 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 Reginald Odom was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.