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

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: July 19, 2026.

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

What is Samantha Clark's NPI number?

The NPI number assigned to this healthcare provider is 1174967277, enumerated as an "individual" on April 19, 2013.

Where is the provider located?

The provider is located at 5 4TH AVE. E. POLSON, MT 59860 and the phone number is (406) 745-3525.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

What insurance does Samantha Clark accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.