Individual
JAMES HUNTINGTON ODOM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
227 NORTH JEFFERSON AVE, WEST BATON ROUGE PARISH, PORT ALLEN, LA 70767
(225) 343-2251
(225) 387-1539
Mailing address
227 NORTH JEFFERSON AVE, WEST BATON ROUGE PARISH, PORT ALLEN, LA 70767
(225) 343-2251
(225) 387-1539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3446
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1834467
—
LA
01
—
980147
UNITED CONCORDIA
LA
01
—
F1312
BCBS OF LA
LA
Enumeration date
03/23/2007
Last updated
07/08/2007
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