Provider Demographics
NPI:1053444182
Name:TOFT, JAMES PETER (DDS,SC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PETER
Last Name:TOFT
Suffix:
Gender:M
Credentials:DDS,SC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 E RACINE AVE
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-6826
Mailing Address - Country:US
Mailing Address - Phone:262-544-1182
Mailing Address - Fax:262-544-4427
Practice Address - Street 1:1575 E RACINE AVE
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-6826
Practice Address - Country:US
Practice Address - Phone:262-544-1182
Practice Address - Fax:262-544-4427
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI954G1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice