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

Pooja Sam, DDS

Individual provider General Practice Dentistry · NPI 1639068497

Pooja Sam, DDS is a General Practice Dentistry in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
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

13927 Old Saint Augustine Rd
Jacksonville, FL 32258-5486
Phone: (904) 643-4075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN30518 (FL)

Record details

NPI number1639068497
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 28, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address385 Brookgreen Way, St Augustine, FL 32092-3368

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