Clear Creek Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CLEAR CREEK FAMILY DENTAL

Practice address

360 W Central Texas Expy Ste 203
Harker Heights, TX 76548-1896

Phone

(254) 680-3727

NPI assigned

Feb 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. William Robert Jennings, DDS

Title

Owner

Phone

(940) 206-8956

Specialties & licenses 2

Addresses

Other names 1

• Fusion Dental and Braces- Clear Creek Doing business as

Locations

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1740936368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 COMMERCE ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014305",
            "telephone_number": "972-248-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W CENTRAL TEXAS EXPY STE 203",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481896",
            "telephone_number": "254-680-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR CREEK FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-22",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-206-8956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fusion Dental and Braces- Clear Creek",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fusion Dental and Braces- Clear Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Christoff
• Boyoung Chung, D.C.
• City of Harker Heights
• Sahriya Clark
• Shakayla Clayton
• Clearsky Rehabilitation Hospital of Harker Heights, LLC
• Christopher Close
• Tricia Close
• Cognitive Restoration LLC
• Joseph Michael Cohn, M.D.

• General Practice Dentistry in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.