Dr. Mark W. Todd
Endodontist
2000 Prevatt St Ste A
Eustis
, Florida 32726-6149
Dr. Mark W. Todd
Endodontist
2000 Prevatt St Ste A
Eustis
, Florida 32726-6149
(352) 589-5020
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Mark W. Todd
- 2000 Prevatt St Ste A
- Eustis, FL
- Zip : 32726-6149
- Fax : (352) 589-5020
- Phone : (352) 589-5009
Second Address
- Dr. Mark W. Todd
- 2000 Prevatt St Ste A
- Eustis, FL
- Zip : 32726-6149
- Fax : (352) 589-5020
- Phone : (352) 589-5009
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | DN-0012564 | FL |
National Provider Identifier
| NPI | 1104962265 |
|---|---|
| Provider Name | Dr. Mark W. Todd |
| First Address | Eustis, FL 32726-6149 |
| Second Address | Eustis, FL 32726-6149 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/01/2007 |
| Last Update Date | 17/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 46-4472264 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.