# SAMANTHA THOMAS DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mahoney Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730853771
- **Authorized official:** DR. SAMANTHA L MAHONEY DDS (DENTIST)
- **Authorized official phone:** (417) 438-5924

## Contact information

- **Practice address:** 906 E OHIO ST, CLINTON, MO 64735-2306
- **Practice address phone:** (417) 438-5924
- **Mailing address:** 1306 N VANSANT RD, CLINTON, MO 64735-9303
- **Mailing address phone:** (417) 438-5924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/03/2021
- **Last updated:** 03/23/2022