Dr Champ Clark Todd, DDS is a
Dentist based in Canton, Missouri. Dr Champ Clark Todd is licensed to practice in Missouri (license number 013529) and his current practice location is
412 Clark St, Canton, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 288-5833.
NPI number for Dr Champ Clark Todd is 1104009984 and his current mailing address is 412 Clark St, Canton, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104009984.
Healthcare Provider's Profile
| Full Name | Dr Champ Clark Todd |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 412 Clark St, Canton, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104009984
- Provider Enumeration Date: 12/14/2007
- Last Update Date: 12/14/2007
Medical Identifiers
Medical identifiers for Dr Champ Clark Todd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104009984 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 013529 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Champ Clark Todd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Champ Clark Todd, DDS
412 Clark St,
Canton, MO 63435
Ph: (573) 288-5833 | Dr Champ Clark Todd, DDS
412 Clark St,
Canton, MO 63435
Ph: (573) 288-5833 |
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