Samantha Thomas DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAMANTHA THOMAS DDS LLC

Practice address

906 E Ohio St
Clinton, MO 64735-2306

Phone

(417) 438-5924

NPI assigned

Aug 3, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samantha L Mahoney, DDSNPI 1316506280

Title

Dentist

Phone

(417) 438-5924

Specialties & licenses 1

Addresses

Other names 1

• Mahoney Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha L Mahoney, DDS

  • General Practice Dentistry
  • Clinton, MO
  • NPI 1316506280
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1730853771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 N VANSANT RD",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647359303",
            "telephone_number": "417-438-5924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 E OHIO ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352306",
            "telephone_number": "417-438-5924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA THOMAS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "417-438-5924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mahoney Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mahoney Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelby Rothmier, OTR
• Miranda Ray Ruth, PA-C
• Alice C Ruttinger, DO
• Lisa Sharee Salazar, P.T.A.
• A Michael Salinger, MA
• Jessica Danielle Sanders, LCSW
• Isabelle C Sands, EDS
• Earle Glenn Sanford, MD
• Caitlyn Sass, RBT
• Erin Schell, PLMFT

• Dental Clinic/Center in Clinton, MO
• Providers in Clinton, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.