Clear Creek Family Dental

LBN: Clear Creek Family Dental
Clear Creek Family Dental is an health care organization with primary practice located at 609 E Wells St Ste F , Ash Grove MO 65604-9087. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Clear Creek Family Dental can be contacted via phone (417) 751-9112, or through Rust, Joshua Tanner via phone (417) 751-9112.

Contact Information

Primary practice address
609 E Wells St Ste F Ash Grove MO 65604-9087
Phone: (417) 751-9112
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rust, Joshua Tanner Doctor of Dental Surgery (DDS)
Phone: (417) 751-9112

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2009013248 Missouri

Profile Details

NPI number 1962725184
LBN Legal business name Clear Creek Family Dental
DBA Doing business as
Authorized official Rust, Joshua Tanner Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2010
Last updated Mar 2nd, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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