Tommy Dean Todd in Mountain Grove - General Practice

Tommy Dean Todd - NPI 1114035870

Tommy Dean Todd is a General Practice in Mountain Grove, Missouri. Tommy Dean Todd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tommy Dean Todd is 1114035870. The last update date is 2007-07-08.

Tommy Dean Todd's current location address is Po Box 864, Mountain Grove, Missouri. You can contact this provider via phone number 4179263600 and fax number 4179267422. The mailing address for Tommy Dean Todd is Po Box 864, Mountain Grove, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Tommy Dean Todd
Address Po Box 864, Mountain Grove, Missouri
Phone Number 4179263600
Fax Number 4179267422
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1114035870
Provider Enumeration Date 2006-08-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 864
City Mountain Grove
State Missouri (MO)
Post Code 65711
Phone Number 4179263600
Fax Number 4179267422

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 14149
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Tommy Dean Todd

What is the unique 10-digit identification code assigned to Tommy Dean Todd by the Centers for Medicare & Medicaid Services?

The Tommy Dean Todd has been issued the NPI (National Provider Identifier) 1114035870, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Tommy Dean Todd is physically located?

The Tommy Dean Todd is situated at the following address: Po Box 864, Mountain Grove, MO 65711.

What is Tommy Dean Todd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Tommy Dean Todd is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did Tommy Dean Todd receive its 1114035870 assignment from the Centers for Medicare & Medicaid Services?

The Tommy Dean Todd was assigned its 1114035870 on 2006-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Tommy Dean Todd most recently updated or revised?

The information pertaining to Tommy Dean Todd, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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