Todd, Michael Sean

Todd, Michael Sean is an individual health care provider with primary practice located at 1500 Vandiver Suite 104, Columbia MO 65202. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Todd, Michael Sean can be contacted via phone (573) 814-1694.

Contact Information

Primary practice address
1500 Vandiver Suite 104 Columbia MO 65202
Fax: (573) 814-2845
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 015815 Missouri

Profile Details

NPI number 1437151750
LBN Legal business name Todd, Michael Sean
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Sep 30th, 2008 - about 16 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 1437151750 NPPES
Missouri Other 431734574 COMPANY TAX ID

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