Individual
DR. SAMANTHA KERPER SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
320 E 2ND ST, LIBBY, MT 59923-2010
(406) 283-6900
Mailing address
615 WISCONSIN AVE, LIBBY, MT 59923-2335
(256) 343-6196
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN-DEN-LIC-26044
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2023
Last updated
08/02/2023
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