NPI 1174967277

Samantha Alexandria Clark, DDS

Practitioner Pediatric Dentistry Polson, MT

Practice location

Address: 5 4th Ave. E., Polson, MT 59860
Phone: (406) 745-3525
Fax: (406) 745-3529
Mailing address: P.O. Box 880, St. Ignatius, MT 59865

Registered specialties (2)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 12012102A (IN)

Other Dentist providers in Montana →

Pediatric Dentistry

Dental Providers Taxonomy 1223P0221X Licence 390200000 (IN)

Registry record

NPI: 1174967277
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2013
Record last updated: 10 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.