Provider Demographics
NPI:1982944989
Name:SCHILD, TODD KEVIN (DDS)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:KEVIN
Last Name:SCHILD
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 1:118 ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-5731
Mailing Address - Country:US
Mailing Address - Phone:201-889-8799
Mailing Address - Fax:
Practice Address - Street 1:1050 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3600
Practice Address - Country:US
Practice Address - Phone:973-777-1772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI025191001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice