Todd, David William

Todd, David William is an individual health care provider with primary practice located at 120 Southwestern Dr , Lakewood NY 14750. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Todd, David William can be contacted via phone (716) 484-8091.

Contact Information

Primary practice address
120 Southwestern Dr Lakewood NY 14750
Phone: (716) 484-8091
Fax: (716) 664-2285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0452481 New York
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 1974071 New York

Profile Details

NPI number 1194865907
LBN Legal business name Todd, David William
Credentials DMD MD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Jul 8th, 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 1194865907 NPPES
New York MEDICAID 01477343

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