Individual provider · Type 1 NPI
Samantha Alexandria Clark, DDS
Pediatric Dentistry · Polson, MT
NPI number
1174967277
Active
Practice location
5 4th Ave. E.
Polson, MT 59860
Fax (406) 745-3529
Mailing address
P.o. Box 880
St. Ignatius, MT 59865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 390200000 (IN) |
| Pediatric Dentistry Primary | 1223P0221X | 12012102A (IN) |
Pediatric Dentistry: 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.
Other pediatric dentistry providers in Polson
About NPI 1174967277
Samantha Alexandria Clark, DDS's National Provider Identifier is 1174967277, issued on Apr 19, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Polson, MT. The record was last updated on Sep 10, 2015.