Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leonard R Odham Jr DDS PA

Organization Dentist · NPI 1063556587

Leonard R Odham Jr DDS PA provides Dentist services in Fair Bluff, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16 Powell St
Fair Bluff, NC 28439 Not confirmed with CMS for 14 years — call before visiting
Phone: (910) 649-7222
Fax: (910) 649-7113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4101 (NC)

Record details

NPI number1063556587
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leonard Odham — Pres · (910) 649-1222
NPI enumeratedFebruary 16, 2007
Last updated in NPPESMay 29, 2012
Mailing addressPo Box 368, Fair Bluff, NC 28439