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Contact Information

TODD M PENNARTZ, DDS
1905 W WALKER ST
BRECKENRIDGE, TX76424
 Phone: 254-559-2122
 Fax: 254-559-2153
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for TODD M PENNARTZ · (Male)

NPI # 1083623326
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/05/2006
Last updated 07/18/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 18144
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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