Provider Demographics
NPI:1669560884
Name:HONEA, TODD ALAN (DMD)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:ALAN
Last Name:HONEA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10015 HIGHWAY 280
Mailing Address - Street 2:
Mailing Address - City:WESTOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35147-4136
Mailing Address - Country:US
Mailing Address - Phone:205-678-7773
Mailing Address - Fax:205-678-3354
Practice Address - Street 1:10015 HIGHWAY 280
Practice Address - Street 2:
Practice Address - City:WESTOVER
Practice Address - State:AL
Practice Address - Zip Code:35147-4136
Practice Address - Country:US
Practice Address - Phone:205-678-7773
Practice Address - Fax:205-678-3354
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5298122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist