Individual provider · Type 1 NPI

Samantha Scoma, DMD

Student in an Organized Health Care Education/Training Program · Shiloh, IL

NPI number 1386570307 Active

Practice location

309 Tamarack Ln
Shiloh, IL 62269-2993

Mailing address

5217 Bonita Blvd
Fairview Heights, IL 62208-3425

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

About NPI 1386570307

Samantha Scoma, DMD's National Provider Identifier is 1386570307, issued on Jun 18, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Shiloh, IL. The record was last updated on Jun 18, 2026.