Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639068497 Individual Practitioner Female Practitioner

Dr. Pooja Sam , DDS

Dentist - General Practice • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Pooja Sam, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Practice services are available at 13927 OLD SAINT AUGUSTINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13927 Old Saint Augustine Rd

Jacksonville, FL 322585486

Telephone 9046434075
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-01
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN30518

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1912687245

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 01, 2025

Registered at 13927 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 322585486 (Tel: 9046434075)

📍
Updated Business Mailing Address July 01, 2025

Registered at 385 BROOKGREEN WAY, ST AUGUSTINE, FL 320923368 (Tel: 4793122492)

👤
Provider Name / Credentials Updated July 01, 2025

Recorded as POOJA SAM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2025

Dentist (License #DN30518 in FL)

🟢
Initial NPI Registration & Enumeration June 28, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639068497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2025
Last Update: July 01, 2025
Sole Proprietor: Yes

Mailing Address

385 Brookgreen Way

St Augustine, FL 320923368

Phone: 4793122492

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.