DR. SAMIR KHATTAB EL MOFTY DMD NPI 1558387878

NPI Information

  • NPI: 1558387878
  • Provider Name: DR. SAMIR KHATTAB EL MOFTY, DMD
  • Classification: Dentist - 1223P0106X
  • Specialization: Oral and Maxillofacial Pathology
  • Entity Type: Individual
  • Address: 425 S EUCLID AVE
    3RD FLOOR
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 362-5641

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NPI Details

DR. Samir Khattab El Mofty, DMD is an oral and maxillofacial pathology dentist in Saint Louis, MO. The provider is 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. DR. Samir Khattab El Mofty, DMD NPI is 1558387878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

425 S EUCLID AVE
3RD FLOOR
SAINT LOUIS, MO
ZIP 63110-005
Phone: (314) 362-5641
Fax: (314) 362-0369

The enumeration date for this NPI number is 7/14/2006 and was last updated on 10/23/2015.

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
11223P0106XDentistOral and Maxillofacial Pathology014731MISSOURIYes

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$$$$$$$$$MEDICAIDILLINOIS
2019010176MEDICAIDMISSOURI
3019010176MEDICARE PINMISSOURI
4220011996MEDICARE PINMISSOURI

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: 11/21/2025

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