Champ Clark Todd, DDS
Dentist · Canton, MO
Practice location
412 Clark StCanton, MO 63435
- Phone
- (573) 288-5833
NPI record
- NPI
- 1104009984
- Entity type
- Individual (Type 1)
- Enumeration date
- December 14, 2007
- Last updated
- December 14, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
013529 | MO |
About Dr. Todd
Champ Clark Todd, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 412 Clark St, Canton, MO 63435. The NPI number 1104009984 was assigned on December 14, 2007 and the record was last updated on December 14, 2007.
Dr. Todd lists a license in the registry: #013529 (MO) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Champ Clark Todd, DDS?
The NPI number is 1104009984.
What is the phone number of Dr. Todd?
The phone number listed for the practice location is (573) 288-5833.
Where is Dr. Todd located?
412 Clark St, Canton, MO 63435.
What is the taxonomy code for Dr. Todd?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.