Lackey, Todd L
Lackey, Todd L is an sole proprietor health care provider with primary practice located at 4001 Balmoral Dr Sw , Huntsville AL 35801-6403. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Lackey, Todd L can be contacted via phone (256) 539-7447.Contact Information
Primary practice address
4001 Balmoral Dr Sw
Huntsville AL 35801-6403
Phone: (256) 539-7447
Fax: (256) 534-1233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4855 | Alabama |
Profile Details
| NPI number | 1467557199 |
|---|---|
| LBN Legal business name | Lackey, Todd L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467557199 | NPPES |
| Alabama | Other | 51092706 | BC/BS ALABAMA |
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