Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHAMP CLARK TODD, DDS
ActiveDR. CHAMP CLARK TODD, DDS is a Dentist healthcare provider located in CANTON, Missouri. NPI 1104009984 is currently active in the NPPES registry. Verify at CMS.
Dentist · CANTON, MO
Registration Details
- NPI Number
- 1104009984
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 14, 2007 (18.655312833353 yrs)
- Last Updated
- Dec 14, 2007
- License
-
013529 (MO)
Practice Information
- Address
-
412 CLARK STCANTON, MO, 63435Browse MO providers · Browse ZIP 63435
- Phone
- 5732885833
- Primary Specialty
-
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.