DR. SAMIR KHATTAB EL MOFTY


Address: 425 S Euclid Ave, 3rd Floor, Saint Louis, MO 63110-1005
Phone: 3143625641

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0106X Dentist
Specialization: Oral and Maxillofacial Pathology
014731 MO Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 019010176 05

Office Location

Street Address 425 S EUCLID AVE
3RD FLOOR
City SAINT LOUIS
State MO
Zip Code 63110-1005

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223P0106X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Pathology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City SAINT LOUIS
Zip Code 63110

Improve Information

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Dataset Information

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.

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