Doctor profile · Federal record
Dr. Samantha Clark, DDS
Pediatric Dentist · Pediatric Dentist · Polson, MT
- NPI 1174967277
- 13 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
5 4Th Ave. E.
Polson, MT 59860
(406) 745-3525
fax (406) 745-3529 - Mailing address
-
P.O. Box 880
St. Ignatius, MT 59865
Credentials & registration
- NPI registered
- April 2013 — 13 yrs on file
- Profile last updated
- September 10, 2015
- Specialty taxonomy
- 1223P0221X — NUCC code
- State licenses (2)
- Indiana #12012102A · Indiana #390200000
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174967277. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$42
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Colgate Oral Pharmaceuticals, INC. | 1 | $41.52 |
By nature of payment
Frequently asked questions
What is Dr. Samantha Clark's medical specialty?
Dr. Samantha Clark practices Pediatric Dentist in Polson, MT.
Where does Dr. Samantha Clark practice?
Dr. Samantha Clark practices at 5 4Th Ave. E., Polson, MT 59860. Office phone: 4067453525.
What is Dr. Samantha Clark's NPI?
Dr. Samantha Clark's National Provider Identifier (NPI) is 1174967277, issued by NPPES.