SAMANTHA KUFTA (NPI# 1417330556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417330556 |
| Entity Type | Individual |
| Full Name | SAMANTHA KUFTA |
| Credential | D.M.D |
| Practice Address |
4259 S Berkeley Ave Chicago IL 60653-3030 |
| Mailing Address |
0n740 Morningside Ave West Chicago IL 60185-2436 |
| Practice Telephone | 6309657306 |
| Mailing Telephone | 6309657306 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 019.030217 | IL | Dental Providers |
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
019.030217 | IL | Dental Providers |
| Street Address |
4259 S BERKELEY AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346221553 | Near North Health Service Corporation | Clinic/Center | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2005-11-07 |
| 1942808407 | Destenii Thomas Anderson | Dental Hygienist | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2020-10-15 |
| 1659914935 | Beeba Achamma Mathew | Nurse Practitioner | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2019-10-19 |
| 1821630054 | Near North Health | Dental Hygienist | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2019-10-09 |
| 1245885474 | Miguel Bautista | Counselor | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2019-08-05 |
| 1588091276 | Ayo Renee Odior | Nurse Practitioner | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2013-09-26 |
| 1447691977 | Mary Caitlin Gondek | Nurse Practitioner | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2013-07-12 |
| 1124373899 | Adewale Olailan Lawal | Dentist | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2012-07-19 |
| 1639437924 | American Pharmaceutical Drugs Inc | Pharmacy | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2012-04-24 |
| 1699009654 | Leah Margaret Van Slambrouck | Pediatrics | 4259 S Berkeley Ave, Chicago, IL 60653-3030 | 2009-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659821221 | Tca Health Care | Dentist | 1030 E. 130th St, Chicago, IL 60628 | 2016-10-07 |
| 1386824498 | Manus Health Systems | Dentist | 676 N Michigan Ave Ste 3500, Chicago, IL 60611-2839 | 2007-11-06 |
| 1083768113 | Philip Nelson | Dentist | 6124 N Overhill Ave, Chicago, IL 60631-3817 | 2007-01-23 |
| 1518956978 | Trina Marie Blunt | Dentist | 8100 S Luella Ave, Chicago, IL 60617-1152 | 2005-10-18 |
| 1114920964 | Steven Patrick Geiermann | Dentist | 5218 N Winthrop Ave, # 3n, Chicago, IL 60640-2306 | 2005-05-24 |
| 1568082030 | Phennatda Polpornvitoon | Dentist | 801 S Paulina St Rm 110, Chicago, IL 60612-7210 | 2020-04-24 |
| 1841785375 | Jeffrey S Wittmus Dds Ltd | Dentist | 5315 N Central Ave, Chicago, IL 60630-1302 | 2018-06-27 |
| 1023526852 | All Perfect Smiles of Beverly PC | Dentist | 10601 S Western Ave, Chicago, IL 60643-3100 | 2018-01-15 |
| 1992225627 | Susan Sunok Singer | Dentist | 2632 W Division St, Chicago, IL 60622-2850 | 2017-06-23 |
| 1689103228 | Alexis Linnebur | Dentist | 201 E Huron St, Chicago, IL 60611 | 2017-06-07 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on SAMANTHA KUFTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.