Anderson, Todd Mathew

Anderson, Todd Mathew is an individual health care provider with primary practice located at 1675 Bethany Rd Suite A, Sycamore IL 60178. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Anderson, Todd Mathew can be contacted via phone (815) 895-3000.

Contact Information

Primary practice address
1675 Bethany Rd Suite A Sycamore IL 60178
Phone: (815) 895-3000
Fax: (815) 895-0505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021001563 Illinois
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 19022431 Illinois

Profile Details

NPI number 1497867626
LBN Legal business name Anderson, Todd Mathew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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