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DR. SAM JOSEPH POIDMORE D,D,S,
NPI 1316088529
Dentist - Oral and Maxillofacial Surgery in Villa Park, CA

Active since February 09, 2007
18152 PAMELA PL, VILLA PARK, CA 92861(714) 921-9662(714) 921-9667 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sam Joseph Poidmore D,d,s, NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAM JOSEPH POIDMORE D,D,S, (NPI 1316088529) is an individual oral and maxillofacial surgery provider in Villa Park, California, licensed in California (D-24327) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1316088529
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. SAM JOSEPH POIDMORECredential: D,D,S,
Location Address18152 PAMELA PLVilla Park, CA 92861-2626
Mailing Address18152 Pamela PlVilla Park, CA 92861-2626 · (714) 921-9662 · Fax (714) 921-9667
Phone(714) 921-9662
Fax(714) 921-9667
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1316088529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · D-24327
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
18152 PAMELA PL, Villa Park, CA 92861
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sam Poidmore's NPI number?

The NPI number for Sam Poidmore is 1316088529. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Sam Poidmore located?

Sam Poidmore practices at 18152 Pamela Pl, Villa Park, CA 92861. The listed phone number is (714) 921-9662.

What is Sam Poidmore's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Sam Poidmore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.