Provider Demographics
NPI:1649281908
Name:NOTO, PETER LOUIS (DDS)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:LOUIS
Last Name:NOTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1S443 SUMMIT AVE
Mailing Address - Street 2:STE 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:STE 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
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190234371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice