Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Sang-Jin Samuel Nam, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164910154

Dr. Sang-Jin Samuel Nam, DDS is a Student in an Organized Health Care Education/Training Program in Springfield, Virginia. Works from 3 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

6120 Brandon Ave Ste 317
Springfield, VA 22150-2504
Phone: (703) 451-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4422 3rd Ave, Bronx, NY 10457-2594 — (413) 219-2900
  • 5249 Duke St Ste L-10, Alexandria, VA 22304-2926 — (703) 823-8812

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 0401416970 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164910154
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 25, 2018
Last updated in NPPESDecember 19, 2020
Certification dateDecember 19, 2020

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