P Praxis·MD
● Active Type 1 · Individual

DR. Richardson Michael Odum, D.M.D.

Dentist·Woodstock, GA· NPI 1962522110 · Enumerated 2007 · 19 years on NPI
Odum is 1 of 6 dentist providers in Woodstock and 1 of 200 in Georgia.
NPI age
19 years
Enumerated 2007-03-30
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 200 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
271 Heritage Walk
Woodstock, GA 301883876
📞 7709240423fax 7709249222
Mailing address
271 Heritage Walk
Woodstock, GA 301883876
📞 7709240423fax 7709249222

Specialties

  • Dentist Primary
    The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
    GA license #10232 taxonomy 1223E0200X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new dentist provider has been added in Woodstock 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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