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Contact Information

TODD W SANDWICK, DDS
418 1ST ST. W.
FOSSTON, MN56542
 Phone: 218-435-7263
 Fax: 218-435-7260
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TODD W SANDWICK · (Male)

NPI # 1184709685
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/25/2006
Last updated 03/19/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # D10792
  • MN Medicaid 702022800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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