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Pooja Sam, DDS
NPI 1639068497 · General Practice Dentistry · Jacksonville, FL
Pooja Sam, DDS is a General Practice Dentistry provider in Jacksonville, FL (NPI 1639068497).
Provider details
- NPI number
- 1639068497
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- DN30518 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13927 Old Saint Augustine Rd
Jacksonville, FL 32258-5486
Phone: (904) 643-4075
Street-level locationGet directions
Mailing address
385 Brookgreen Way
St Augustine, FL 32092-3368
Registry dates
- Enumerated
- 2025-06-28
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Frequently asked questions
- What is Pooja Sam's NPI number?
- Pooja Sam's National Provider Identifier (NPI) is 1639068497, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pooja Sam's specialty?
- Pooja Sam is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Pooja Sam located?
- Pooja Sam's practice location on file with NPPES is 13927 Old Saint Augustine Rd, Jacksonville, FL 32258-5486.
- What is Pooja Sam's phone number?
- The practice phone number listed in the NPPES registry for Pooja Sam is (904) 643-4075.
- Is Pooja Sam's NPI active?
- Yes — Pooja Sam's NPI (1639068497) is active in the NPPES registry as of the last update on 2025-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.