Jerrod Odette Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JERROD ODETTE DENTAL PLLC

Practice address

2336 Aberdeen Dr
Tyler, TX 75703-1943

Phone

(903) 574-0275

NPI assigned

Dec 8, 2025

Organization subpart

No

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

Authorized official

Name

Jerrod Ryan Odette, DDSNPI 1396351466

Title

Dentist

Phone

(903) 574-0275

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jerrod Ryan Odette, DDS

  • Dentist
  • Tyler, TX
  • NPI 1396351466
  NPD Authorized official

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1851254684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14846 HAZEL LEAF CT",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757076725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 ABERDEEN DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031943",
            "telephone_number": "903-574-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERROD ODETTE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-08",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "ODETTE",
        "authorized_official_first_name": "JERROD",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "903-574-0275",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Jennings
• Katherine Ann Jennings, FNP-C
• William Robert Jennings, DDS
• Jens Langsjoen MD PLLC
• Burkitt W Jensen, MD
• Jerry S Putman MD
• Jessica Thompson, LCSW, LLC
• Alpesh R Jethva, M.D.
• Gina M. Jetter, MD
• Nikkia Jiles, LCSW

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.