Samuel D O'Dell, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAMUEL D O'DELL, DDS, INC

Practice address

3712 Teays Valley Rd
Hurricane, WV 25526-9645

Phone

(304) 757-9389

Fax

(304) 757-3296

NPI assigned

Jan 11, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Douglas O'Dell, DDSNPI 1497891493

Title

Owner

Phone

(304) 757-9389

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Douglas O'Dell I, D.D.S.

  • General Practice Dentistry
  • Hurricane, WV
  • NPI 1497891493
  NPD Authorized official

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1235880352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269645",
            "telephone_number": "304-757-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 TEAYS VALLEY RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269645",
            "telephone_number": "304-757-9389",
            "fax_number": "304-757-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL D O'DELL, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "O'DELL",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-757-9389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanda Salser
• Samir Shah Ecpwv LLC
• Gregory Shawn Sammons, O.D.
• Tracey Sammons
• Patsy Samples, PCA
• Carlee Jane Sang
• Christopher M Santangelo, PA-C
• Jaclyn A Santangelo, MOT
• Sara Sampson
• Carla Saunders, PA-C

• Dental Clinic/Center in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Dental Clinic/Center in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.