Healthcare Provider Details

I. General information

NPI: 1770644700
Provider Name (Legal Business Name): TODD W POST DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 ISLAND ST
CHIPPEWA FALLS WI
54729-2350
US

IV. Provider business mailing address

115 ISLAND ST
CHIPPEWA FALLS WI
54729-2350
US

V. Phone/Fax

Practice location:
  • Phone: 715-723-3534
  • Fax: 715-726-0588
Mailing address:
  • Phone: 715-723-3534
  • Fax: 715-726-0588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number3439
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: