POOJA SAM DDS
NPI 1639068497
Dentist - General Practice in Jacksonville, FL

Active since June 28, 2025
13927 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258(904) 643-4075 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2025, Jun 28, 2025 (2 updates tracked since 2025).

About Pooja Sam Dds NPPES

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

POOJA SAM DDS (NPI 1639068497) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN30518) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1639068497
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePOOJA SAMCredential: DDS
Location Address13927 OLD SAINT AUGUSTINE RDJacksonville, FL 32258-5486
Mailing Address385 Brookgreen WaySt Augustine, FL 32092-3368 · (479) 312-2492
Sole ProprietorYes
Enumeration DateJune 28, 2025
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1639068497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN30518
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.
13927 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
13927 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Dentist (General Practice)
13927 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258
Dentist
13927 OLD SAINT AUGUSTINE RD
JACKSONVILLE, FL 32258

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 Pooja Sam's NPI number?

The NPI number for Pooja Sam is 1639068497. It was assigned to this individual provider in the NPPES registry on June 28, 2025.

Where is Pooja Sam located?

Pooja Sam practices at 13927 Old Saint Augustine Rd, Jacksonville, FL 32258. The listed phone number is (904) 643-4075.

What is Pooja Sam's specialty?

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

What insurance does Pooja Sam accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Pooja 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 Pooja Sam was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.