Provider Demographics
NPI:1831347384
Name:BAGGALEY, TODD JAMES (DMD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:JAMES
Last Name:BAGGALEY
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 1:3296 COUNTY ROAD 2134
Mailing Address - Street 2:
Mailing Address - City:CADDO MILLS
Mailing Address - State:TX
Mailing Address - Zip Code:75135-6703
Mailing Address - Country:US
Mailing Address - Phone:702-496-6777
Mailing Address - Fax:
Practice Address - Street 1:3839 PARKER RD STE 104
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-7818
Practice Address - Country:US
Practice Address - Phone:702-496-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX403421223P0221X
NVS6-1071223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry