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Dr. Samantha Alexandria Clark, DDS
Pediatric Dentist in Polson, Montana
NPI 1174967277

Samantha Alexandria Clark is a Pediatric Dentist based in St. Ignatius, MT and is specialized in Pediatric Dentistry. Samantha Alexandria Clark practices in Polson, MT and has the professional credentials of DDS. The NPI Number for Samantha Alexandria Clark is 1174967277 and holds a License No. 390200000 (Montana).

The current practice location address for Samantha Alexandria Clark is 5 4Th Ave. E., Polson, MT and can be reached out via phone at 406-745-3525 and via fax at 406-745-3529.

Location: 5 4Th Ave. E., Polson, MT, 59865
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174967277
Provider Name
Samantha Alexandria Clark
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
5 4Th Ave. E., Polson, MT, 59865
Phone Number
406-745-3525
Fax Number
406-745-3529
Provider Enumeration Date
04/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5 4Th Ave. E.
City
Polson
State
Montana
Zip
59860
Phone Number
406-745-3525
Fax Number
406-745-3529
person
Provider Business Mailing Address Details
Address
5 4Th Ave. E.
City
Polson
State
Montana
Zip
59860
Phone Number
406-745-3525
Fax Number
406-745-3529
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
390200000 (Indiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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