Individual
SAMANTHA MARIE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
713 PIERCE RD, CLIFTON PARK, NY 12065
(518) 373-1181
Mailing address
713 PIERCE RD, CLIFTON PARK, NY 12065
(518) 373-1181
(518) 395-9431
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
064196
NY
1223P0221X
Pediatric Dentistry
Primary
64196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
01
—
331833
MEDICARE OSCAR
NY
01
—
53099A
MEDICARE PIN
NY
Enumeration date
03/27/2023
Last updated
12/08/2025
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