Provider Demographics
NPI:1245543404
Name:DENT, TODD ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:ALAN
Last Name:DENT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 JORDAN POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27562-9306
Mailing Address - Country:US
Mailing Address - Phone:919-545-4394
Mailing Address - Fax:
Practice Address - Street 1:3084 NORTH GOLIAD STREET
Practice Address - Street 2:114
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087
Practice Address - Country:US
Practice Address - Phone:972-977-3911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11490111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor