Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Sumita Susan Sam, DDS

Individual provider General Practice Dentistry · NPI 1326561200

Dr. Sumita Susan Sam, DDS is an Oral and Maxillofacial Pathology in Gainesville, Florida. Graduated from University of Detroit Mercy School of Dentistry in 2017, 9 years ago. Practices with Faculty Associates Incorporated, a 16-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
9
Trained at
University of Detroit Mercy School of Dentistry
Licensed in
FL, MI
In the registry since
2017
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

1395 Center Dr Rm D8-6
Gainesville, FL 32610-3006
Phone: (352) 273-6703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Sw Archer Rd, Gainesville, FL 32610-3006 — (352) 273-6695

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence DTP805 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 291022390 (MI)

Record details

NPI number1326561200
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 21, 2017
Last updated in NPPESMarch 9, 2024
Certification dateMarch 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL AND MAXILLOFACIAL PATHOLOGY
Medical schoolUNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
Graduated 2017 (9 years in practice)
Group practice Faculty Associates Incorporated — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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