Benjamin Scott Odom in Phoenix - Dentist

Benjamin Scott Odom - NPI 1255498309

Benjamin Scott Odom is a Dentist in Phoenix, Arizona. Benjamin Scott Odom practices all healthcare services and medical treatments related to Dentist. The NPI Number for Benjamin Scott Odom is 1255498309. The last update date is 2007-07-08.

Benjamin Scott Odom's current location address is 5060 N 40th St Ste 108, Phoenix, Arizona. You can contact this provider via phone number 6029569060. The mailing address for Benjamin Scott Odom is 5060 N 40th St Ste 108, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Benjamin Scott Odom
Address 5060 N 40th St Ste 108, Phoenix, Arizona
Phone Number 6029569060
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1255498309
Provider Enumeration Date 2007-01-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5060 N 40th St Ste 108
City Phoenix
State Arizona (AZ)
Post Code 850182140
Phone Number 6029569060
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 1722
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Benjamin Scott Odom

What is the Benjamin Scott Odom's unique identification number?

The Benjamin Scott Odom has been assigned the NPI (National Provider Identifier) Number 1255498309 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Benjamin Scott Odom is geographically located?

The Benjamin Scott Odom is physically situated at the following location: 5060 N 40Th St Ste 108, Phoenix, AZ, 850182140.

What is the Benjamin Scott Odom's area of specialization and corresponding taxonomy classification?

The Benjamin Scott Odom's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.

On what date did Benjamin Scott Odom receive its 1255498309 assignment from the Centers for Medicare & Medicaid Services?

The Benjamin Scott Odom was assigned its 1255498309 on 2007-01-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Benjamin Scott Odom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Benjamin Scott Odom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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