| Clear Creek Family Dental Rogersville | |
|
203 Jamestown Blvd Unit A Rogersville MO 65742-6526 | |
| (417) 929-0000 | |
| (417) 929-0009 |
| Full Name | Clear Creek Family Dental Rogersville |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 203 Jamestown Blvd Unit A, Rogersville, Missouri |
| Authorized Official Name and Position | Samuel R Zimmer (DENTIST (PROVIDER)) |
| Authorized Official Contact | 4179290000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Creek Family Dental Rogersville 203 Jamestown Blvd Unit A Rogersville MO 65742-6526 Ph: (417) 929-0000 | Clear Creek Family Dental Rogersville 203 Jamestown Blvd Unit A Rogersville MO 65742-6526 Ph: (417) 929-0000 |
| NPI Number | 1114633922 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114633922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |