Dingman, Todd Alan

Dingman, Todd Alan is an individual health care provider with primary practice located at 77 W Forest Ave Ste 107, Flagstaff AZ 86001-1482. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dingman, Todd Alan can be contacted via phone (928) 773-2530.

Contact Information

Primary practice address
77 W Forest Ave Ste 107 Flagstaff AZ 86001-1482
Fax: (928) 773-2532
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4381 Arizona

Profile Details

NPI number 1134126725
LBN Legal business name Dingman, Todd Alan
Credentials DDS,MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 17th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134126725 NPPES
Arizona MEDICAID 460600

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