Provider Demographics
NPI:1194119271
Name:MICHAEL F TOTA DDS CHRISTOPHER M TOTA DDS PC
Entity type:Organization
Organization Name:MICHAEL F TOTA DDS CHRISTOPHER M TOTA DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:TOTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-769-2547
Mailing Address - Street 1:34 FRANKFORD ST
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-1948
Mailing Address - Country:US
Mailing Address - Phone:914-769-2547
Mailing Address - Fax:
Practice Address - Street 1:34 FRANKFORD ST
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NY
Practice Address - Zip Code:10532-1948
Practice Address - Country:US
Practice Address - Phone:914-769-2547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty