| Dr Samantha Alexandria Clark, DDS | |
|
5 4th Ave. E., Polson, MT 59860 | |
| (406) 745-3525 | |
| (406) 745-3529 |
| Full Name | Dr Samantha Alexandria Clark |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5 4th Ave. E., Polson, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174967277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 390200000 (Indiana) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 12012102A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samantha Alexandria Clark, DDS P.o. Box 880, St. Ignatius, MT 59865 Ph: (406) 745-3525 | Dr Samantha Alexandria Clark, DDS 5 4th Ave. E., Polson, MT 59860 Ph: (406) 745-3525 |
Dr. Timothy Chapman Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 203 Main St, Polson, MT 59860 Phone: 406-883-0496 | |
Dr. Michael R Windauer, DMD Dentist Medicare: Medicare Enrolled Practice Location: 421 Main St, Polson, MT 59860 Phone: 406-883-1343 Fax: 406-883-3550 | |
Dr. Jason T Heintz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 102 1st Ave E, Polson, MT 59860 Phone: 406-883-5544 Fax: 406-883-5420 | |
Jacob Robert Windauer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 421 Main St, Polson, MT 59860 Phone: 406-883-1343 | |
Dr. Emma Windauer, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 421 Main St, Polson, MT 59860 Phone: 406-883-1343 | |
Dr. Aimee Jean Gustafson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5 4th Ave E, Polson, MT 59860 Phone: 406-745-3525 |