Odrey Bechtel
Individual provider Active NPI Oral & Maxillofacial Surgery (D.M.D.) · Bismarck, ND
NPI 1407523939 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1407523939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.) 204E00000X
- License
- 2599 (ND)
- Practice address
- 3231 Greensboro Dr Ste 103
Bismarck, ND 58503-5413 - Phone
- (773) 438-3960
- Fax
- (763) 438-3960
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220721000705 | MN | Order and Referring Only - Maxillofacial Surgery |
5698156719 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 2599 | ND | Yes |
| Dentist | 122300000X | 2599 | ND |
Addresses
Primary practice location
3231 Greensboro Dr Ste 103
Bismarck, ND 58503-5413
Mailing address
3231 Greensboro Dr Ste 103
Bismarck, ND 58503-5413
Phone (773) 438-3960
Other providers in Bismarck, ND
- Lisa Bean
- Brandi L Bear
- Andrew Lee Beardsley
- Brian C Beattie
- Sharon C Beattie
- Jennifer Roseberry Bechtold
- Jillian Bechtold
- Dean M Beck
- Kimberly Beck
- Maari Beck
All providers in Bismarck, ND · Oral & Maxillofacial Surgery (D.M.D.) in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.