Samir Khattab El Mofty, DMD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

014731 Issued in MO

Practice address

425 S Euclid Ave
3Rd Floor
Saint Louis, MO 63110-1005

Phone

(314) 362-5641

Fax

(314) 362-0369

NPI assigned

Jul 14, 2006

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1356382527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1558387878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 CLAYTON AVE",
            "address_2": "CB 8118",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-362-5641",
            "fax_number": "314-362-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S EUCLID AVE",
            "address_2": "3RD FLOOR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101005",
            "telephone_number": "314-362-5641",
            "fax_number": "314-362-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL MOFTY",
        "first_name": "SAMIR",
        "middle_name": "KHATTAB",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MO",
            "license": "014731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudy El Asmar, MD
• Dima El Halawani Aladdin, MD
• Mireille El Hayek, M.D.
• Mahdi Muhtadi El Jallad
• Ibrahim El Mikati, MD
• Jack Yacoob El Sawda, MD
• Fouad Fathi El Sayyad, M.D.
• Nathalie El Ters, MD
• Munier Abraham El-Beck, M.D.
• Abdal-Aziz Issa El-Hussain, MD

• Oral and Maxillofacial Pathology Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Oral and Maxillofacial Pathology Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.