DR. CHAMP CLARK TODD (NPI# 1104009984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104009984 |
| Entity Type | Individual |
| Full Name | DR. CHAMP CLARK TODD |
| Credential | DDS |
| Practice Address |
412 Clark St Canton MO 63435 |
| Practice Telephone | 5732885833 |
| Mailing Telephone | 5732885833 |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 013529 | MO | Dental Providers |
| Street Address |
412 CLARK ST |
| City | CANTON |
| State | MO |
| Zip Code | 63435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174688618 | Kenneth J Oliver | Counselor | 800 Hampton Ln, Canton, MO 63435-1032 | 2006-12-26 |
| 1013227925 | Gregory Leo Collier | Chiropractor | 705 College St, Canton, MO 63435-1236 | 2010-10-13 |
| 1497253066 | Christe Anne Thomas | Specialist/Technologist | 1 College Hl # 133, Canton, MO 63435-1257 | 2018-01-29 |
| 1285059386 | Michael James Schwarzer | Specialist/Technologist | 1 College Hl, Canton, MO 63435-1257 | 2014-02-26 |
| 1346871936 | Stormy Leeann Simons | Student in an Organized Health Care Education/Training Program | 1 College Hl, Canton, MO 63435-1257 | 2020-02-01 |
| 1275181018 | Thomas Greene | Student in an Organized Health Care Education/Training Program | 1 College Hl, Canton, MO 63435-1257 | 2019-08-26 |
| 1770085201 | Daniel Kevin Fohey | Specialist/Technologist | 1 College Hl, Canton, MO 63435-1257 | 2018-02-28 |
| 1104327766 | Makkel Marie Parrott | Specialist/Technologist | 1 College Hl, Canton, MO 63435-1257 | 2018-02-27 |
| 1467952754 | Kirby Alana Mcclain | Specialist/Technologist | 1 College Hl, Canton, MO 63435-1257 | 2018-02-14 |
| 1073011425 | Joshua Robert Douglas Laird | Respiratory Therapist, Registered | 1 College Hl, Canton, MO 63435-1257 | 2018-01-30 |
| Find all providers in zip 63435 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576503 | Duc-tri Van Vu | Dentist | 7770 Hagadorn Ln, Canton, MI 48187-5340 | 2020-07-27 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1578188470 | Kevin Truong | Dentist | 5 Westdale Rd, Canton, MA 02021-1328 | 2020-06-16 |
| 1699330449 | Nivine Dughayli | Dentist | 42126 Woodcreek Ln, Canton, MI 48188-2615 | 2019-05-07 |
| 1215442017 | Lindsay Marie Foreman | Dentist | 1425 Riverstone Pkwy Unit 200, Canton, GA 30114-5611 | 2017-12-04 |
| 1245760040 | Anupama Sangadala | Dentist | 5958 N Canton Center Rd Ste 400, Canton, MI 48187 | 2017-06-14 |
| 1578012381 | Vaishaliben Patel | Dentist | 465 Torrington Dr W, Canton, MI 48188-6285 | 2016-09-22 |
| 1720430390 | Baxinder Kaur Samrao | Dentist | 46837 Wareham, Canton, MI 48187-4674 | 2016-07-07 |
| 1326409186 | Brian L. Amison, Dds, LLC | Dentist | 3684 Dressler Rd Nw, Suite A, Canton, OH 44718-2781 | 2016-03-08 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.