Active NPI
Mark Lee O'Dell, DDS
- Dentist
- Birch Run, MI
National Provider Identifier
1962481424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11334
- Practice address
- 7971 Main St
Birch Run, MI 48415-8001 - Phone
- (989) 624-9381
- Fax
- (989) 624-9353
- NPI assigned
- Jan 12, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11334 | MI | Primary |
Addresses
Primary practice location
7971 Main St
Birch Run, MI 48415-8001
Mailing address
9389 S Beyer Rd
Birch Run, MI 48415-8426
Phone (989) 624-6009
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2926589 | Medicaid | MI | |
| J113340 | Other | MI | BC/BS OF MI |
| 479934 | Other | MI | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11334 | MI | MD | Dentist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Birch Run, MI
- NPI 1235370834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1962481424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9389 S BEYER RD",
"city": "BIRCH RUN",
"state": "MI",
"postal_code": "484158426",
"telephone_number": "989-624-6009",
"fax_number": "989-624-9353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7971 MAIN ST",
"city": "BIRCH RUN",
"state": "MI",
"postal_code": "484158001",
"telephone_number": "989-624-9381",
"fax_number": "989-624-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DELL",
"first_name": "MARK",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "11334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2926589",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MI",
"identifier": "J113340",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "479934",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birch Run, MI
- Mymichigan Medical Center Saginaw
- Mymichigan Medical Center Saginaw (Ascension Medical Group Birch Run Family Physicians)
- Mymichigan Medical Center Saginaw (Ascension Medical Group Urgent Care Birch Run)
- Candice Ann Negrete, FNP-BC
- Jennifer Lee Newman, DPT
- Rosemary Oseguera, LMSW
- Linda Pabis
- Susan M Perdue, OD
- Sarah Louise Quirante
- Chandra Michele Rasmussen, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.