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

Individual provider Dentist · NPI 1639800808

Samantha Yevgenyevna Bergeron, DDS is a Dentist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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

4142 Adams Ave Ste 104
San Diego, CA 92116-2594
Phone: (619) 326-0157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 109297 (CA)

Record details

NPI number1639800808
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 20, 2022
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

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