Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clear Creek Family Dental - Mt Vernon LLC

Organization General Practice Dentistry · NPI 1417881244

Clear Creek Family Dental - Mt Vernon LLC is a General Practice Dentistry in Mount Vernon, Missouri. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1103 S Landrum St
Mount Vernon, MO 65712-1931
Phone: (417) 427-9123
Fax: (417) 268-9121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1417881244
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Rust — Owner · (417) 427-9123
Other names Clear Creek Family - Mt. Vernon
NPI enumeratedJune 9, 2026
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026
Mailing address1103 S Landrum St, Mount Vernon, MO 65712-1931

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