DR. CHAMP CLARK TODD DDS
NPI 1104009984
Dentist in Canton, MO

Active since December 14, 2007
412 CLARK ST, CANTON, MO 63435(573) 288-5833 Get Directions Write a Review

NPPES record last updated: December 14, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Champ Clark Todd Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHAMP CLARK TODD DDS (NPI 1104009984) is a dentist provider in Canton, Missouri, licensed in Missouri (013529) and active in the NPI registry since December 2007.Information from the official NPPES registry record, last updated December 14, 2007.

NPPES Registry Identity

NPI1104009984
Entity TypeIndividualMale
Provider Legal NameDR. CHAMP CLARK TODDCredential: DDS
Location Address412 CLARK STCanton, MO 63435
Mailing Address412 Clark StCanton, MO 63435 · (573) 288-5833
Sole ProprietorNo
Enumeration DateDecember 14, 2007
NPI 1104009984 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Dentist

Taxonomy 122300000X · Dental Providers

Licensed in MO · 013529

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the… Show more

412 CLARK ST, Canton, MO 63435

Reviews for DR. CHAMP CLARK TODD DDS

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104009984, enumerated as an "individual" on December 14, 2007.

The provider is located at 412 CLARK ST CANTON, MO 63435 and the phone number is (573) 288-5833.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.