Organization Active NPI

Samantha Ifill DDS PLLC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1922794452
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SAMANTHA IFILL DDS PLLC
Doing business as
Garden Dental Arts
Practice address
511 Clinton Ave
Brooklyn, NY 11238-2246
Phone
(718) 230-3183
Fax
(347) 705-0795
NPI assigned
Apr 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Dr. Samantha Ifill, DDSNPI 1437368149
Title
Dentist/Owner
Phone
(718) 230-3183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

511 Clinton Ave
Brooklyn, NY 11238-2246

Mailing address

511 Clinton Ave
Brooklyn, NY 11238-2246
Phone (718) 230-3183

Other names 1

  • Garden Dental Arts Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1922794452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CLINTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382246",
            "telephone_number": "718-230-3183",
            "fax_number": "347-705-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CLINTON AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112382246",
            "telephone_number": "718-230-3183",
            "fax_number": "347-705-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA IFILL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "IFILL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "718-230-3183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.