Todd L Needham in Appleton - Periodontics

Todd L Needham - NPI 1174644298

Todd L Needham is a Periodontics in Appleton, Wisconsin. Todd L Needham practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Todd L Needham is 1174644298. The last update date is 2007-07-08.

Todd L Needham's current location address is 2535 Northern Rd, Appleton, Wisconsin. You can contact this provider via phone number 9207313224 and fax number 9207312910. The mailing address for Todd L Needham is 2535 Northern Rd, Appleton, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Todd L Needham
Address 2535 Northern Rd, Appleton, Wisconsin
Phone Number 9207313224
Fax Number 9207312910
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1174644298
Provider Enumeration Date 2007-04-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2535 Northern Rd
City Appleton
State Wisconsin (WI)
Post Code 549148753
Phone Number 9207313224
Fax Number 9207312910

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 1514G
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Todd L Needham

What is the Todd L Needham's unique identification number?

The Todd L Needham has been assigned the NPI (National Provider Identifier) Number 1174644298 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Todd L Needham's facilities are situated?

The facilities of Todd L Needham are physically located at the following address: 2535 Northern Rd, Appleton, WI, 549148753.

What is the Todd L Needham's area of specialization and corresponding taxonomy classification?

The Todd L Needham's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174644298 to Todd L Needham?

The Centers for Medicare & Medicaid Services originally issued the 1174644298 to Todd L Needham on 2007-04-03.

As of what date were the Todd L Needham's details last updated?

The information pertaining to the Todd L Needham, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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