Clear Creek Family Dental
Organization Active NPI Dentist · Strafford, MO
NPI 1790418754 · NPPES record last updated Jul 7, 2022
Key facts
- NPI
- 1790418754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- CLEAR CREEK FAMILY DENTAL
- Practice address
- 101 S State Highway 125 Ste a
Strafford, MO 65757-8998 - Phone
- (417) 631-4490
- Fax
- (417) 736-9250
- NPI assigned
- Jul 7, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- CLEAR CREEK FAMILY DENTAL
Authorized official
- Name
- Brianna Rose Nichols
- Title
- Office Manager
- Phone
- (417) 350-6045
Practitioners 1
-
Joshua Tanner Rust, D.D.S.
National Provider Directory
- Part of
- Clear Creek Family Dental
Locations
101 S State Highway 125
Ste A
Strafford, MO 65757
Phone (417) 631-4490
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
101 S State Highway 125 Ste a
Strafford, MO 65757-8998
Mailing address
101 S State Highway 125 Ste a
Strafford, MO 65757-8998
Phone (417) 631-4490
Other names
- Clear Creek Family Dental
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | eddosea.com |
Other providers in Strafford, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.