1. Home
  2. Directory
  3. Minnesota
  4. North Branch
  5. Dentist
  6. NPI Profile

CLEAR CREEK DENTAL
NPI 1861634586
Dentist - General Practice in North Branch, MN

Active since March 26, 2009
6364 MAIN ST, NORTH BRANCH, MN 55056(651) 674-8128 Get Directions Write a Review

NPPES record last updated: March 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clear Creek Dental NPPES

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

CLEAR CREEK DENTAL (NPI 1861634586) is a healthcare organization registered as a general practice in North Branch, Minnesota and active in the NPI registry since March 2009. The organization lists Genie Kuble, Contact Officer, as its authorized official.

NPPES Registry Identity

NPI1861634586
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLEAR CREEK DENTAL
Location Address6364 MAIN STNorth Branch, MN 55056-6693
Mailing Address6364 Main StNorth Branch, MN 55056-6693
Phone(651) 674-8128
Organization SubpartNo
Authorized OfficialGenie KubleContact Officer · (920) 450-0157
Enumeration DateMarch 26, 2009
✔ NPI 1861634586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6364 MAIN ST, North Branch, MN 55056
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEVEN LEWIS CLAWSON DDS
Dentist
6364 MAIN ST
NORTH BRANCH, MN 55056
Chisago County (651) 674-8128

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 Dental's NPI number?

The NPI number for Clear Creek Dental is 1861634586. It was assigned to this organization in the NPPES registry on March 26, 2009.

Where is Clear Creek Dental located?

Clear Creek Dental is located at 6364 Main St, North Branch, MN 55056. The listed phone number is (651) 674-8128.

What is Clear Creek Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Clear Creek Dental was last updated on March 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.