DR. SAMANTHA ALEXANDRIA CLARK DDS
NPI 1174967277
Dentist - Pediatric Dentistry in Polson, MT

Q: What is Samantha Clark's NPI number?

The NPI number for Samantha Clark is 1174967277. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Q: What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2013

5 4TH AVE. E., POLSON, MT 59860(406) 745-3525(406) 745-3529 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Samantha Alexandria Clark Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA ALEXANDRIA CLARK DDS (NPI 1174967277) is an individual pediatric dentistry provider in Polson, Montana, licensed in Indiana (12012102A) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1174967277

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. SAMANTHA ALEXANDRIA CLARKCredential: DDS

Location Address5 4TH AVE. E.Polson, MT 59860

Mailing AddressP.o. Box 880St. Ignatius, MT 59865 · (406) 745-3525 · Fax (406) 745-3529

Phone(406) 745-3525

Fax(406) 745-3529

Sole ProprietorYes

Enumeration DateApril 19, 2013

Last NPPES UpdateSeptember 10, 2015

✔ NPI 1174967277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in IN · 12012102A✔ Licensed in IN · 390200000

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.

5 4TH AVE. E., Polson, MT 59860

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Clark's NPI number?

The NPI number for Samantha Clark is 1174967277. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Where is Samantha Clark located?

Samantha Clark practices at 5 4th Ave. E., Polson, MT 59860. The listed phone number is (406) 745-3525.

What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Samantha Clark accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Samantha Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.