Samantha Alexandria Clark, DDS
NPI 1174967277ActiveIndividual· Dentist, Pediatric Dentistry· Polson, MT
Dentist, Pediatric Dentistry (DDS) in Polson, Montana, licensed in IN, with an NPI issued in April 2013. Colgate Oral Pharmaceuticals, Inc. reported $69.92 in payments in 2025, mostly education.
Overview
| NPI | 1174967277 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Apr 19, 2013 |
| Last updated in NPPES | Sep 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 12012102A | IN |
| Dentist, Pediatric Dentistry | 1223P0221X | 390200000 | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$69.92 · 1 payment from 1 company
- 2024$41.52 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Colgate Oral Pharmaceuticals, Inc. | $69.92 | 1 |
What the 2025 payments were for
- Education$69.92 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other pediatric dentists in Polson
- 1407698962
- 1386924793