Tori Odhiambo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123580 Issued in GA

Practice address

5131 Washington Rd
Evans, GA 30809-6445

Phone

(706) 550-1884

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Dental Professionals, PC

  • General Practice Dentistry
  • Evans, GA
  • NPI 1710478102
  NPD (past)

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1497587968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 LEAFLET WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 WASHINGTON RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096445",
            "telephone_number": "706-550-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODHIAMBO",
        "first_name": "TORI",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Nowak, OTD
• Alfred Walter Nutt, PH.D., M.D.
• William Colden O'Leary Jr., PH. D.
• Kyle H O'Neal
• Occupational Rehab Services
• Krista Odom, OTR/L
• Jacqueline Ijeoma Ojimba, DMD
• Deise Cruz Oliveira, DDS
• Oncology Rehab, LLC
• Tyler Richard Ormsby, APC

• General Practice Dentistry in Evans, GA
• Providers in Evans, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.