Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. REGINALD ODOM, DDS
Active Sole ProprietorDR. REGINALD ODOM, DDS is a General Dentistry healthcare provider located in CHICAGO, Illinois. NPI 1548329386 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · CHICAGO, IL
Registration Details
- NPI Number
- 1548329386
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 7, 2006 (19.504057913126 yrs)
- Last Updated
- Feb 29, 2016
- License
-
019021471 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4109 W 47TH STCHICAGO, IL, 606324101Browse IL providers · Browse ZIP 60632
- Phone
- 7738476740
- Fax
- 7738746745
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL C GRIFFIN | D.M.D. | 1376546382 |
| DR. KATHERINE LAUTERBACH | D.D.S. | 1528061520 |
| DR. ALAN ARA BOGHOSIAN | DDS | 1285637272 |
| DR. KENNETH FRIED | DDS | 1457354441 |
| DR. VERONICA LYNN DIMARIO | DDS | 1891799508 |
| DR. MARK J. GRUNBERG | D.D.S. | 1962407239 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.