Provider Demographics
NPI:1801887005
Name:ODDS DENTAL SERVICES, P.C.
Entity type:Organization
Organization Name:ODDS DENTAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVO
Authorized Official - Middle Name:
Authorized Official - Last Name:ODDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-793-1242
Mailing Address - Street 1:101 CHEERFUL PL
Mailing Address - Street 2:
Mailing Address - City:LA VERGNE
Mailing Address - State:TN
Mailing Address - Zip Code:37086-3608
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 CHEERFUL PL
Practice Address - Street 2:
Practice Address - City:LA VERGNE
Practice Address - State:TN
Practice Address - Zip Code:37086-3608
Practice Address - Country:US
Practice Address - Phone:615-793-1242
Practice Address - Fax:615-793-8189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-04
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN78541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty