| Clear Creek Family Dental - Mt. Vernon Llc | |
|
1103 S Landrum St Mount Vernon MO 65712-1931 | |
| (417) 427-9123 | |
| (417) 268-9121 |
| Full Name | Clear Creek Family Dental - Mt. Vernon Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1103 S Landrum St, Mount Vernon, Missouri |
| Authorized Official Name and Position | Joshua Tanner Rust (OWNER) |
| Authorized Official Contact | 4174279123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Creek Family Dental - Mt. Vernon Llc 1103 S Landrum St Mount Vernon MO 65712-1931 Ph: (417) 427-9123 | Clear Creek Family Dental - Mt. Vernon Llc 1103 S Landrum St Mount Vernon MO 65712-1931 Ph: (417) 427-9123 |
| NPI Number | 1417881244 |
|---|---|
| Provider Enumeration Date | 06/09/2026 |
| Last Update Date | 06/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417881244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
J. Warren Hildreth, Jr Dds Pc Of Missouri Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 558 E Mount Vernon Blvd, Mount Vernon, MO 65712 Phone: 417-466-7196 Fax: 417-466-2129 | |
J. Warren Hildreth, Jr Dds Pc Of Missouri Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 W Hayward Dr, Mount Vernon, MO 65712 Phone: 417-466-7184 Fax: 417-466-4081 |