Provider Demographics
NPI:1568506616
Name:S. TODD COMM, D.D.S., INC.
Entity Type:Organization
Organization Name:S. TODD COMM, D.D.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:COMM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:707-678-9296
Mailing Address - Street 1:1300 N LINCOLN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:DIXON
Mailing Address - State:CA
Mailing Address - Zip Code:95620-2022
Mailing Address - Country:US
Mailing Address - Phone:707-678-9296
Mailing Address - Fax:707-678-9307
Practice Address - Street 1:1300 N LINCOLN ST
Practice Address - Street 2:SUITE A
Practice Address - City:DIXON
Practice Address - State:CA
Practice Address - Zip Code:95620-2022
Practice Address - Country:US
Practice Address - Phone:707-678-9296
Practice Address - Fax:707-678-9307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA269751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty