Healthcare Provider Details

I. General information

NPI: 1174534176
Provider Name (Legal Business Name): ANNE M TODD DMD MMSC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 DERRY ROAD
HUDSON NH
03051
US

IV. Provider business mailing address

49 DERRY ROAD
HUDSON NH
03051
US

V. Phone/Fax

Practice location:
  • Phone: 603-889-1100
  • Fax: 603-889-1007
Mailing address:
  • Phone: 603-889-1100
  • Fax: 603-889-1007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number3240
License Number StateNH

VIII. Authorized Official

Name: DR. ANNE M TODD
Title or Position: OWNER PRESIDENT
Credential: DMD
Phone: 603-889-1100