Provider Demographics
NPI:1689281560
Name:DENNIS H. ODIE, M.D.
Entity Type:Organization
Organization Name:DENNIS H. ODIE, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D./OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ODIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-780-1980
Mailing Address - Street 1:9106 PHILADELPHIA RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-4333
Mailing Address - Country:US
Mailing Address - Phone:410-780-1980
Mailing Address - Fax:
Practice Address - Street 1:9106 PHILADELPHIA RD STE 200
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237-4333
Practice Address - Country:US
Practice Address - Phone:410-780-1980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty