Healthcare Provider Details

I. General information

NPI: 1568190189
Provider Name (Legal Business Name): TINA TOFIGHI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 N CONGRESS AVE
BOYNTON BEACH FL
33426-3327
US

IV. Provider business mailing address

12520 BURNING TREE LN
CORAL SPRINGS FL
33071-7739
US

V. Phone/Fax

Practice location:
  • Phone: 561-710-6853
  • Fax:
Mailing address:
  • Phone: 954-261-9237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number38865
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number27198
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: