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Provider Information for 1437368149

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. SAMANTHA IFILL DDS

Gender: FEMALE

Individual NPI: 1437368149

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1437368149
Enumeration Date 2007-05-21
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 213 EASTERN PKWY
BROOKLYN, NY 11238-6127
United States

Phone: 718-230-3183 | Fax: 718-230-3186
View Map External Link
Primary Practice Address 213 EASTERN PKWY
BROOKLYN, NY 11238-6127
United States

Phone: 718-230-3183 | Fax: 718-230-3186
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist NY 046042