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DOUGLAS BRYAN SAM D.D.S.
NPI 1467629949
Dentist - General Practice in Marina Del Rey, CA

Active since May 13, 2008
4519 ADMIRALTY WAY STE 120, MARINA DEL REY, CA 90292(310) 821-5288(310) 821-0153 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Bryan Sam D.d.s. NPPES

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

DOUGLAS BRYAN SAM D.D.S. (NPI 1467629949) is an individual general practice provider in Marina Del Rey, California, licensed in California (40009) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1467629949
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDOUGLAS BRYAN SAMCredential: D.D.S.
Location Address4519 ADMIRALTY WAY STE 120Marina Del Rey, CA 90292-5455
Mailing Address4519 Admiralty Way Ste 120Marina Del Rey, CA 90292-5455 · (310) 821-5288 · Fax (310) 821-0153
Phone(310) 821-5288
Fax(310) 821-0153
Sole ProprietorNo
Enumeration DateMay 13, 2008
✔ NPI 1467629949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 40009
Definition
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.
4519 ADMIRALTY WAY STE 120, Marina Del Rey, CA 90292
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIMBERLY CHYU DDS
Dentist (General Practice)
4519 ADMIRALTY WAY STE 120
MARINA DEL REY, CA 90292
Los Angeles County (310) 821-5288

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 Douglas Sam's NPI number?

The NPI number for Douglas Sam is 1467629949. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Douglas Sam located?

Douglas Sam practices at 4519 Admiralty Way Ste 120, Marina Del Rey, CA 90292. The listed phone number is (310) 821-5288.

What is Douglas Sam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Douglas Sam accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Douglas Sam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Sam was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.