National Provider Identifier

Todd Mitchell Retell, DDS

Todd Mitchell Retell, DDS is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lockport, NY and a listed phone number of (716) 433-6004.

NPI 1720163884Lockport, NYGeneral Practice Dentistry

Profile Overview

NPI
1720163884
Provider Type
Individual
Primary Specialty
General Practice Dentistry
Enumeration Date
October 26, 2006
Last Updated
May 19, 2015

Practice Location

  • 39 Elizabeth Dr
  • Lockport, NY 14094-5226

Phone: (716) 433-6004

Mailing Address

  • 4514 Sharon Dr
  • Lockport, NY 14094-1314

Specialties

  • General Practice Dentistry (1223G0001X)
Full Record
NPI
1720163884
Entity Type
Individual
Last Name
Retell
First Name
Todd
Middle Name
Mitchell
Name Prefix
Dr.
Credential
DDS
Mailing Street Address
4514 Sharon Dr
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-1314
Mailing Country
US
Mailing Phone
(716) 439-8565
Practice Street Address
39 Elizabeth Dr
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-5226
Practice Country
US
Practice Phone
(716) 433-6004
Enumeration Date
October 26, 2006
Last Updated
May 19, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Dentistry (1223G0001X)