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DR. RICHARDSON MICHAEL ODUM D.M.D.
NPI 1962522110
Dentist - Endodontics in Woodstock, GA

Active since March 30, 2007PECOS Enrolled
271 HERITAGE WALK, WOODSTOCK, GA 30188(770) 924-0423(770) 924-9222 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Richardson Michael Odum D.m.d. NPPES

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

DR. RICHARDSON MICHAEL ODUM D.M.D. (NPI 1962522110) is an individual endodontics provider in Woodstock, Georgia, licensed in Georgia (10232) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962522110
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. RICHARDSON MICHAEL ODUMCredential: D.M.D.
Location Address271 HERITAGE WALKWoodstock, GA 30188-3876
Mailing Address271 Heritage WalkWoodstock, GA 30188-3876 · (770) 924-0423 · Fax (770) 924-9222
Phone(770) 924-0423
Fax(770) 924-9222
Sole ProprietorNo
Enumeration DateMarch 30, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1962522110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in GA · 10232
Definition
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.
271 HERITAGE WALK, Woodstock, GA 30188
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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 Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richardson Michael Odum D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

SARAH KANCHWALA
Dentist (Endodontics)
271 HERITAGE WALK
WOODSTOCK, GA 30188
Cherokee County (770) 924-0423
JAY HWANG DDS, MS
Dentist (Endodontics)
271 HERITAGE WALK
WOODSTOCK, GA 30188
Cherokee County (770) 924-0423
DR. RANDOLPH PATRICK O'CONNOR D.M.D
Dentist (Endodontics)
271 HERITAGE WALK
WOODSTOCK, GA 30188
Cherokee County (770) 924-0423
NORTHWEST ENDODONTIC SPECIALISTS, P.C.
Dentist (Endodontics)
271 HERITAGE WALK
WOODSTOCK, GA 30188
Cherokee County (770) 924-0423

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 Richardson Odum's NPI number?

The NPI number for Richardson Odum is 1962522110. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Richardson Odum located?

Richardson Odum practices at 271 Heritage Walk, Woodstock, GA 30188. The listed phone number is (770) 924-0423.

What is Richardson Odum's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

Is Richardson Odum enrolled in Medicare?

Yes. Richardson Odum is registered in the Medicare PECOS enrollment system.

What insurance does Richardson Odum accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Richardson Odum 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 Richardson Odum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.