Petar S Tofovic PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

01927481 Issued in IL

Legal business name

PETAR S TOFOVIC PC

Doing business as

White Dental Studio

Practice address

1414 W Chicago Ave
Store/Unit 1C
Chicago, IL 60642-5403

Phone

(773) 609-4483

NPI assigned

Jul 20, 2011

Last updated

Jul 20, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Petar S Tofovic, DMD, MPHNPI 1811188998

Title

President

Phone

(773) 609-4483

Specialties & licenses 1

Addresses

Other names 1

• White Dental Studio Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Petar Tofovic, D.M.D

  • Dentist
  • Chicago, IL
  • NPI 1811188998
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1407144793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W CHICAGO AVE",
            "address_2": "STORE/UNIT 1C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425403",
            "telephone_number": "773-609-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W CHICAGO AVE",
            "address_2": "STORE/UNIT 1C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425403",
            "telephone_number": "773-609-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETAR S TOFOVIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "TOFOVIC",
        "authorized_official_first_name": "PETAR",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-609-4483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "01927481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margarita Peshko, LCSW
• Melissa S Pessin, M.D., PH.D.
• Tracy Gail Pessin, M.D.
• Ronald Anthony Pestana, LCSW
• Roxanne Khurshed Pestonji, PT
• Jerry P Petasnick, M.D.
• Denise Petenzi, DPM
• Peter Akerele
• Peter Beer Therapy PLLC
• Peter D. Geldner, M.D. S.C. (The Geldner Center)

• Dental Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.