OrganizationActive
Leonard R Odham Jr DDS PA
NPI 1063556587 · Dentist · Fair Bluff, NC
Leonard R Odham Jr DDS PA is a Dentist organization in Fair Bluff, NC (NPI 1063556587).
Provider details
- NPI number
- 1063556587
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Leonard Odham, Pres(910) 649-1222
- License
- 4101 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16 Powell St
Fair Bluff, NC 28439
Phone: (910) 649-7222
Fax: (910) 649-7113
Street-level locationGet directions
Mailing address
Po Box 368
Fair Bluff, NC 28439
Registry dates
- Enumerated
- 2007-02-16
- Last updated
- 2012-05-29
Frequently asked questions
- What is Leonard R Odham Jr DDS PA's NPI number?
- Leonard R Odham Jr DDS PA's National Provider Identifier (NPI) is 1063556587, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Leonard R Odham Jr DDS PA?
- Leonard R Odham Jr DDS PA is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Leonard R Odham Jr DDS PA located?
- Leonard R Odham Jr DDS PA's practice location on file with NPPES is 16 Powell St, Fair Bluff, NC 28439.
- What is Leonard R Odham Jr DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Leonard R Odham Jr DDS PA is (910) 649-7222.
- Who is the authorized official for Leonard R Odham Jr DDS PA?
- The authorized official listed on Leonard R Odham Jr DDS PA's NPPES record is Leonard Odham, Pres. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Leonard R Odham Jr DDS PA's NPI active?
- Yes — Leonard R Odham Jr DDS PA's NPI (1063556587) is active in the NPPES registry as of the last update on 2012-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.