Organization
JAMEL D. ODEH DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMEL D ODEH DDS (OWNER/DENTIST)
(336) 294-2322
Entity
Organization
Contact information
Practice address
4119 WALKER AVE, GREENSBORO, NC 27407-1315
(336) 294-2322
(336) 294-2323
Mailing address
4119 WALKER AVE, GREENSBORO, NC 27407-1315
(336) 294-2322
(336) 294-2323
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6163
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901367
—
NC
Enumeration date
07/07/2006
Last updated
03/13/2017
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