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

Walter Emanuel Odisho, DDS

Individual provider Prosthodontics · NPI 1710362447

Walter Emanuel Odisho, DDS is a Prosthodontics in Fairfax, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2015
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

3040 Williams Dr Ste 201
Fairfax, VA 22031
Phone: (571) 419-6897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 0401416043 (VA)

Record details

NPI number1710362447
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 23, 2015
Last updated in NPPESMay 17, 2018
Mailing address7 N Calvert St Apt 1502, Baltimore, MD 21202-2259

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