# SAMUEL D O'DELL, DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235880352
- **Authorized official:** DR. SAMUEL DOUGLAS O'DELL DDS (OWNER)
- **Authorized official phone:** (304) 757-9389

## Contact information

- **Practice address:** 3712 TEAYS VALLEY RD, HURRICANE, WV 25526-9645
- **Practice address phone:** (304) 757-9389
- **Practice address fax:** (304) 757-3296
- **Mailing address:** 3712 TEAYS VALLEY RD, HURRICANE, WV 25526-9645
- **Mailing address phone:** (304) 757-9389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2022
- **Last updated:** 01/11/2022