DR. SAMIR KHATTAB EL MOFTY (NPI# 1558387878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558387878 |
Entity Type | Individual |
Full Name | DR. SAMIR KHATTAB EL MOFTY |
Credential | DMD |
Practice Address |
425 S Euclid Ave 3rd Floor Saint Louis MO 63110-1005 |
Mailing Address |
4253 Clayton Ave Cb 8118 Saint Louis MO 63110 |
Practice Telephone | 3143625641 |
Practice Fax Number | 3143620369 |
Mailing Telephone | 3143625641 |
Mailing Fax Number | 3143620369 |
Enumeration Date | 2006-07-14 |
Last Update Date | 2015-10-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
014731 | MO | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 019010176 | 05 |
Street Address |
425 S EUCLID AVE 3RD FLOOR |
City | SAINT LOUIS |
State | MO |
Zip Code | 63110-1005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255329058 | Jonathan W Heusel | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2005-10-06 |
1043662067 | Lulu Sun | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2016-07-02 |
1164842878 | Chieh-yu Lin | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2014-04-21 |
1417399676 | Kathleen Byrnes | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2013-07-29 |
1417399320 | Cody Weimholt | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2013-07-19 |
1528404696 | Deyali Chatterjee | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2013-05-16 |
1073958658 | Suzanne R Thibodeaux | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2013-05-08 |
1144562125 | Mena Mansour | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2013-03-18 |
1962690180 | Julie Ann Neidich | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2007-10-12 |
1407077852 | George Randolphe Wettach | Pathology | 425 S Euclid Ave, Saint Louis, MO 63110-1005 | 2007-05-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
Find all providers in zip 63110 |
Taxonomy Code | 1223P0106X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Pathology |
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275731895 | Rishad Shaikh | Dentist | 621 S New Ballas Rd, Suite 16 A, Saint Louis, MO 63141-8232 | 2007-07-05 |
1578628418 | Daniel Charles Stoeckel | Dentist | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2006-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619167418 | Aparna Naidu | Dentist | 650 E 25th St Rm 377, Kansas City, MO 64108 | 2007-07-27 |
1790833358 | Billy L Ogborn | Dentist | 66 Doctors Park, Cape Girardeau, MO 63703-4928 | 2007-01-08 |
1326019837 | Mitchell Duane Esquibel | Dentist | 1016 S Bishop Ave, Rolla, MO 65401-4416 | 2006-02-01 |
1770562068 | Bradley Alan Seyer | Dentist | 3439 Bridgeland Dr, Bridgeton, MO 63044-2604 | 2006-01-13 |
1932538410 | Behjat Moghadam | Dentist | 650 E 25th St, Kansas City, MO 64108-2716 | 2013-11-05 |
1225254253 | Curator of The University of Missouri Umkc Dental School and Clinics | Dentist | 650 E 25th St, Kansas City, MO 64108-2716 | 2007-04-18 |
1447475769 | Bruce F Barker | Dentist | 650 E 25th St, Kansas City, MO 64108-2716 | 2007-04-13 |
1407989049 | Charles L Dunlap | Dentist | 650 E 25th St, Lab of Oral Pathology, Kansas City, MO 64108-2716 | 2007-03-13 |
1417007600 | Robert E. Hawkins | Dentist | 4201 S Cloverleaf Dr, B, Saint Peters, MO 63376-6438 | 2007-01-11 |
1003929449 | James W Andrews | Dentist | 1000 W Nifong Blvd, Bldg 4 Ste 100, Columbia, MO 65203-5661 | 2006-08-17 |
Find all providers with the same taxonomy |
City | SAINT LOUIS |
Zip Code | 63110 |
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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.