1. Home
  2. Directory
  3. North Carolina
  4. Fair Bluff
  5. Dentist
  6. NPI Profile

DR. LEONARD RUSSELL ODHAM JR. DDS
NPI 1952662041
Dentist - General Practice in Fair Bluff, NC

Active since June 05, 2012
16 POWELL ST., FAIR BLUFF, NC 28439(910) 649-7222(910) 649-7113 Get Directions Write a Review

NPPES record last updated: June 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leonard Russell Odham Jr. Dds NPPES

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

DR. LEONARD RUSSELL ODHAM JR. DDS (NPI 1952662041) is an individual general practice provider in Fair Bluff, North Carolina, licensed in North Carolina (4101) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1952662041
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LEONARD RUSSELL ODHAM JR.Credential: DDS
Location Address16 POWELL ST.Fair Bluff, NC 28439-0368
Mailing AddressPo Box 368, 16 Powell St.Fair Bluff, NC 28439-0368 · (910) 649-7222 · Fax (910) 649-7113
Phone(910) 649-7222
Fax(910) 649-7113
Sole ProprietorYes
Enumeration DateJune 5, 2012
✔ NPI 1952662041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NC · 4101
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.
16 POWELL ST., Fair Bluff, NC 28439
Open in Google Maps ↗

Other Identifiers 1

Medicaid8996472NC

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 Leonard Odham's NPI number?

The NPI number for Leonard Odham is 1952662041. It was assigned to this individual provider in the NPPES registry on June 5, 2012.

Where is Leonard Odham located?

Leonard Odham practices at 16 Powell St., Fair Bluff, NC 28439. The listed phone number is (910) 649-7222.

What is Leonard Odham's specialty?

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

When was this NPI record last updated?

The NPPES record for Leonard Odham was last updated on June 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.