| Dr Phyllis A Odoom, DDS | |
|
1 Shaws Cv, New London, CT 06320-4902 | |
| (860) 447-8304 | |
| (860) 443-8720 |
| Full Name | Dr Phyllis A Odoom |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 1 Shaws Cv, New London, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205063674 | NPI | - | NPPES |
| 004236354 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010355 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phyllis A Odoom, DDS 635 Main St, Attn: Credentialing Dpt, Middletown, CT 06457-2718 Ph: (860) 347-6971 | Dr Phyllis A Odoom, DDS 1 Shaws Cv, New London, CT 06320-4902 Ph: (860) 447-8304 |
Sung Woo Cho, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 258 S Frontage Rd, New London, CT 06320 Phone: 860-437-3462 | |
Teresa Matyas, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4 Shaws Cv Ste 202, New London, CT 06320 Phone: 860-443-4199 | |
Rodcliffe Wint, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 464 Montauk Ave, New London, CT 06320 Phone: 347-575-0520 | |
Dr. Aravind Balagopalan Menon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 190 Hempstead St, New London, CT 06320 Phone: 860-447-3216 Fax: 860-701-6019 | |
Dr. Christopher Brett Clark, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 190 Hempstead St, New London, CT 06320 Phone: 860-447-3216 Fax: 860-701-6019 | |
Dr. Janellen G Matyas, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4 Shaws Cv Ste 202, New London, CT 06320 Phone: 860-443-4199 Fax: 860-444-6145 | |
Dr. Aman Syed, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Montauk Ave, Suite 102, New London, CT 06320 Phone: 860-447-9280 Fax: 860-437-1938 |