William M Odom, DDS,Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

17850 Issued in CA

Legal business name

WILLIAM M ODOM, DDS,INC

Doing business as

Odom Dental Sleep Medicine

Practice address

5256 S Mission Rd
Suite 1101
Bonsall, CA 92003-3614

Phone

(760) 453-7789

Fax

(760) 729-6952

NPI assigned

Aug 22, 2014

Last updated

Feb 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Martin Odom III, DDSNPI 1235554684

Title

President/Doctor/Provider

Phone

(760) 453-7789

Specialties & licenses 1

Addresses

Other names 1

• ODOM DENTAL SLEEP MEDICINE Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Odom III, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Bonsall, CA
  • NPI 1235554684
  Authorized official Same address or phone

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1649679960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 REDWOOD AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084055",
            "telephone_number": "760-453-7789",
            "fax_number": "760-729-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5256 S MISSION RD",
            "address_2": "SUITE 1101",
            "city": "BONSALL",
            "state": "CA",
            "postal_code": "920033614",
            "telephone_number": "760-453-7789",
            "fax_number": "760-729-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M ODOM, DDS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT/DOCTOR/PROVIDER",
        "authorized_official_telephone_number": "760-453-7789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "17850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ODOM DENTAL SLEEP MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Bonsall, CA
• Providers in Bonsall, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.