Provider Type Icon

PETAR S TOFOVIC PC NPI 1407144793


NPI Information

NPI: 1407144793
Provider Name: PETAR S TOFOVIC PC

Doing Business As: WHITE DENTAL STUDIO

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1414 W CHICAGO AVE
STORE/UNIT 1C
CHICAGO, IL
ZIP 60642
Phone: (773) 609-4483
Get Directions

PETAR S TOFOVIC PC is a dental clinic center in Chicago, IL. PETAR S TOFOVIC PC NPI is 1407144793. The provider is registered as an organization entity type.
The provider Is Doing Business As White Dental Studio.

The provider's business location address is:

1414 W CHICAGO AVE
STORE/UNIT 1C
CHICAGO, IL
ZIP 60642-403
Phone: (773) 609-4483

The provider's authorized official is Petar S Tofovic .
The authorized official title is President and has the following contact phone number (773) 609-4483.

The enumeration date for this NPI number is 7/20/2011 and was last updated on 7/20/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental01927481ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.