Individual provider Active NPI

Samuel Votto, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Jacksonville, FL
National Provider Identifier
1982130779
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN31531 Issued in FL
Practice address
2080 Child St Dept 5000
Jacksonville, FL 32214-5000
Phone
(904) 542-7300
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X 110745 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 33185 TX
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X DN31531 FL Primary
Military Health Care Provider 171000000X

Addresses

Primary practice location

2080 Child St Dept 5000
Jacksonville, FL 32214-5000

Mailing address

3637 Richmond St
Jacksonville, FL 32205-9457
Phone (215) 776-6464

Other practice location 1

17085 Camino San Bernardo Ste 200
San Diego, CA 92127-9701
Phone (858) 277-8084

Other practice location 2

Sage Dental of Callahan
450031 FL-200
Callahan, FL 32011
Phone (904) 529-0652

Other practice location 3

8209 W Beaver St Ste 100
Jacksonville, FL 32220-2393
Phone (904) 799-7493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33185TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
NH Camp Pendleton PastSince Oct 8, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1982130779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 RICHMOND ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322059457",
            "telephone_number": "215-776-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHILD ST DEPT 5000",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322145000",
            "telephone_number": "904-542-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17085 Camino San Bernardo Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921279701",
            "country_code": "US",
            "telephone_number": "858-277-8084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Sage Dental of Callahan",
            "address_2": "450031 FL-200",
            "address_purpose": "LOCATION",
            "city": "Callahan",
            "state": "FL",
            "postal_code": "32011",
            "country_code": "US",
            "telephone_number": "904-529-0652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8209 W Beaver St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322202393",
            "country_code": "US",
            "telephone_number": "904-799-7493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOTTO",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "110745",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "33185",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN31531",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.