Walter Emanuel Odisho, DDS

Prosthodontics · Fairfax, VA

Individual Active NPI

NPI number 1710362447

Practice location

3040 Williams Dr Ste 201
Fairfax, VA 22031
Phone
(571) 419-6897

Open in Google Maps

NPI record

NPI
1710362447
Entity type
Individual (Type 1)
Enumeration date
July 23, 2015
Last updated
May 17, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X 0401416043 VA

Mailing address

7 N Calvert St Apt 1502
Baltimore, MD 21202-2259
Phone
(786) 333-6862

Other practice locations (1)

  • 650 W Baltimore St Fl 4, Baltimore, MD 21201-1510 · (410) 706-7101

About Dr. Odisho

Walter Emanuel Odisho, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 3040 Williams Dr Ste 201, Fairfax, VA 22031. The NPI number 1710362447 was assigned on July 23, 2015 and the record was last updated on May 17, 2018.

Dr. Odisho lists a license in the registry: #0401416043 (VA) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Walter Emanuel Odisho, DDS?

The NPI number is 1710362447.

What is the phone number of Dr. Odisho?

The phone number listed for the practice location is (571) 419-6897.

Where is Dr. Odisho located?

3040 Williams Dr Ste 201, Fairfax, VA 22031.

What is the taxonomy code for Dr. Odisho?

The primary taxonomy code is 1223P0700X – Prosthodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Prosthodontics providers in Fairfax

All Prosthodontics providers in Fairfax, VA →