Provider Demographics
NPI:1366868721
Name:PETER L NOTO DDS LTD
Entity Type:Organization
Organization Name:PETER L NOTO DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:L
Authorized Official - Last Name:NOTO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-620-8300
Mailing Address - Street 1:1S443 SUMMIT AVE
Mailing Address - Street 2:SUITE 307
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3989
Mailing Address - Country:US
Mailing Address - Phone:630-620-8300
Mailing Address - Fax:630-620-8316
Practice Address - Street 1:1S443 SUMMIT AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3989
Practice Address - Country:US
Practice Address - Phone:630-620-8300
Practice Address - Fax:630-620-8316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190234371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty