Pope W Oden III DDS Apdc

Primary specialty

DentistTaxonomy code 122300000X

License

4211 Issued in LA

Legal business name

POPE W ODEN III DDS APDC

Practice address

2285 Benton Road
D103
Bossier City, LA 71111

Phone

(318) 747-7978

Fax

(318) 747-7978

NPI assigned

Sep 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pope Webb Oden III, DDS

Title

President

Phone

(318) 747-7978

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371686400000",
    "number": "1144323734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 BENTON ROAD",
            "address_2": "D103",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-747-7978",
            "fax_number": "318-747-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 BENTON ROAD",
            "address_2": "D103",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "71111",
            "telephone_number": "318-747-7978",
            "fax_number": "318-747-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPE W ODEN III DDS APDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2013-06-20",
        "status": "A",
        "authorized_official_last_name": "ODEN",
        "authorized_official_first_name": "POPE",
        "authorized_official_middle_name": "WEBB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-747-7978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "LA",
            "license": "4211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.