Provider Demographics
NPI:1366566044
Name:TODARO, TERRI LYNN (DDS)
Entity type:Individual
Prefix:DR
First Name:TERRI
Middle Name:LYNN
Last Name:TODARO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31395 SEVEN MILE RD
Mailing Address - Street 2:STE B
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-4313
Mailing Address - Country:US
Mailing Address - Phone:248-477-4905
Mailing Address - Fax:248-477-7546
Practice Address - Street 1:31395 SEVEN MILE RD
Practice Address - Street 2:STE B
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-4313
Practice Address - Country:US
Practice Address - Phone:248-477-7905
Practice Address - Fax:248-477-7546
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI014152122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist