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

Clear Creek Family Dental Rogersville

Organization Dental Clinic/Center · NPI 1114633922

Clear Creek Family Dental Rogersville is a Dental Clinic/Center in Rogersville, Missouri. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

203 Jamestown Blvd Unit A
Rogersville, MO 65742-6526
Phone: (417) 929-0000
Fax: (417) 929-0009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1114633922
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Zimmer — Dentist (Provider) · (417) 929-0000
NPI enumeratedJanuary 25, 2023
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address203 Jamestown Blvd Unit A, Rogersville, MO 65742-6526