CLEAR CREEK FAMILY DENTAL ROGERSVILLE
NPI 1114633922
Clinic/Center - Dental in Rogersville, MO

Q: What is Clear Creek Family Dental Rogersville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since January 25, 2023

203 JAMESTOWN BLVD UNIT A, ROGERSVILLE, MO 65742(417) 929-0000(417) 929-0009 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Clear Creek Family Dental Rogersville NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAR CREEK FAMILY DENTAL ROGERSVILLE (NPI 1114633922) is a healthcare organization registered as a dental in Rogersville, Missouri and active in the NPI registry since January 2023. The organization lists Samuel R Zimmer, Dentist (provider), as its authorized official.

NPPES Registry Identity

NPI1114633922

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCLEAR CREEK FAMILY DENTAL ROGERSVILLE

Location Address203 JAMESTOWN BLVD UNIT ARogersville, MO 65742-6526

Mailing Address203 Jamestown Blvd Unit ARogersville, MO 65742-6526 · (417) 929-0000 · Fax (417) 929-0009

Phone(417) 929-0000

Fax(417) 929-0009

Organization SubpartNo

Authorized OfficialSamuel R ZimmerDentist (provider) · (417) 929-0000

Enumeration DateJanuary 25, 2023

NPPES CertifiedJanuary 25, 2023

✔ NPI 1114633922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

203 JAMESTOWN BLVD UNIT A, Rogersville, MO 65742

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clear Creek Family Dental Rogersville's NPI number?

The NPI number for Clear Creek Family Dental Rogersville is 1114633922. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Clear Creek Family Dental Rogersville located?

Clear Creek Family Dental Rogersville is located at 203 Jamestown Blvd Unit A, Rogersville, MO 65742. The listed phone number is (417) 929-0000.

What is Clear Creek Family Dental Rogersville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Clear Creek Family Dental Rogersville was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.