# HERBERT TODD DDS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174059638
- **Authorized official:** DANITA CLARK (OFFICE MANAGER)
- **Authorized official phone:** (360) 491-2532

## Contact information

- **Practice address:** 4445 LACEY BLVD SE, LACEY, WA 98503-5716
- **Practice address phone:** (360) 491-2532
- **Practice address fax:** (360) 923-9565
- **Mailing address:** 4445 LACEY BLVD SE, LACEY, WA 98503-5716
- **Mailing address phone:** (360) 491-2532
- **Mailing address fax:** (360) 923-9565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 7656 | WA | Yes |

## Other

- **Enumeration date:** 05/03/2017
- **Last updated:** 05/03/2017