P Praxis·MD
● Active Type 1 · Individual

DR. William S Odom JR., D.D.S.

Dentist·Columbus, GA· NPI 1790784338 · Enumerated 2005 · 20 years on NPI
Odom is 1 of 80 dentist providers in Columbus and 1 of 4309 in Georgia.
NPI age
20 years
Enumerated 2005-07-16
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-12-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
424 9th St, Suite #1
Columbus, GA 319012895
📞 7063279936
Mailing address
424 9th St, Suite #1
Columbus, GA 319012895
📞 7063279936

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #10277 taxonomy 1223G0001X

Identifiers

TypeValueNotes
01 9181476 WELLCARE-DORAL
01 820713 UNITED CONCORDIA
05 (GA) 00318029A
01 100661 PEACHSTATE-AVESIS

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in Columbus in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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