Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMANTHA ALEXANDRIA CLARK, DDS
Active Sole ProprietorDR. SAMANTHA ALEXANDRIA CLARK, DDS is a Pediatric Dentistry healthcare provider located in POLSON, Montana. NPI 1174967277 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · POLSON, MT
Registration Details
- NPI Number
- 1174967277
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 19, 2013 (13.288985271484 yrs)
- Last Updated
- Sep 10, 2015
- Licenses
-
390200000 (IN)12012102A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 4TH AVE. E.POLSON, MT, 59860Browse MT providers · Browse ZIP 59860
- Phone
- 4067453525
- Fax
- 4067453529
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in POLSON, MT
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID GORDON BURKE | D.M.D. | 1386924793 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.