Provider Demographics
NPI:1346498656
Name:TOTONCHI, SUMMER K (DMD)
Entity Type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:K
Last Name:TOTONCHI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 DONNA LN
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-8800
Mailing Address - Country:US
Mailing Address - Phone:847-466-5951
Mailing Address - Fax:
Practice Address - Street 1:1235 N RAND RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4314
Practice Address - Country:US
Practice Address - Phone:847-259-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190277841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice