Sam Dason Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SAM DASON DENTAL CORPORATION

Doing business as

San Benardino Family Dentistry

Practice address

3972 N Waterman Ave Ste 110
San Bernardino, CA 92404-1767

Phone

(090) 726-1888

NPI assigned

Nov 28, 2023

Last updated

Nov 28, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sam Daniel Dason, DDSNPI 1871658955

Title

President

Phone

(909) 904-3956

Specialties & licenses 1

Addresses

Other names 1

• San Benardino Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sam Daniel Dason, DDS

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1871658955
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1770359085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 N WATERMAN AVE STE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041767",
            "telephone_number": "909-904-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 N WATERMAN AVE STE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924041767",
            "telephone_number": "090-726-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM DASON DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "DASON",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-904-3956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Benardino Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Korina Monique Salsberry
• Jaspreet Saluja, MD
• Salvador E Lasala MD a Medical Corporation
• Ashlee Isabella Salvatierra
• Sam Danieldason DDS Apdc (San Bernardino Dental group)
• Sam's Club Optical (Sam's Club Optical 30-6624)
• Allison Samaan
• Talal Samaan, MD
• Saman Ghaemmaghami DMD a Professional Dental Corporation
• Adilene Samaniego

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.