Provider Demographics
NPI:1134324684
Name:OLDROYD, TODD STEPHEN (DMD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:STEPHEN
Last Name:OLDROYD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4321 S BUCKLEY RD
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-2727
Mailing Address - Country:US
Mailing Address - Phone:303-690-1812
Mailing Address - Fax:303-690-3855
Practice Address - Street 1:4321 S BUCKLEY RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-2727
Practice Address - Country:US
Practice Address - Phone:303-690-1812
Practice Address - Fax:303-690-3855
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO94241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice