Provider Demographics
NPI:1760712137
Name:BROWER, TODD (DDS)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:
Last Name:BROWER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 NW CHIPMAN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-1986
Mailing Address - Country:US
Mailing Address - Phone:816-525-5656
Mailing Address - Fax:816-525-2085
Practice Address - Street 1:20 NW CHIPMAN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-1986
Practice Address - Country:US
Practice Address - Phone:816-525-5656
Practice Address - Fax:816-525-2085
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO15117122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist