SAAD LATIF SOOFI DDS NPI 1508357500

NPI Information

NPI: 1508357500
Provider Name: SAAD LATIF SOOFI, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3127 N UNIVERSITY ST
PEORIA, IL
ZIP 61604
Phone: (309) 681-8888
Get Directions

Saad Latif Soofi, DDS is a general practice dentist in Peoria, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Saad Latif Soofi, DDS NPI is 1508357500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3127 N UNIVERSITY ST
PEORIA, IL
ZIP 61604-316
Phone: (309) 681-8888

The enumeration date for this NPI number is 5/24/2018 and was last updated on 9/19/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	12013431A	INDIANA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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