SAMANTHA KUFTA D.M.D NPI 1417330556

NPI Information

NPI: 1417330556
Provider Name: SAMANTHA KUFTA, D.M.D
Classification: Dentist - 1223D0001X
Entity Type: Individual

Specialization: Dental Public Health

Address:
4259 S BERKELEY AVE
CHICAGO, IL
ZIP 60653
Phone: (630) 965-7306
Get Directions

Samantha Kufta, D.M.D is a dental public health dentist in Chicago, IL. The provider is 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. Samantha Kufta, D.M.D NPI is 1417330556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4259 S BERKELEY AVE
CHICAGO, IL
ZIP 60653-030
Phone: (630) 965-7306

The enumeration date for this NPI number is 7/7/2015 and was last updated on 7/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		019.030217	ILLINOIS	No
2	1223D0001X	Dentist	Dental Public Health	019.030217	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	$$$$$$$$$	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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