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

Copper Creek LLC

Organization Dental Clinic/Center · NPI 1104319862

Copper Creek LLC is a Dental Clinic/Center in Ozark, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018
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

797 W South St
Ozark, MO 65721-9261
Phone: (417) 581-0835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 2015016758 (MO)

Record details

NPI number1104319862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Jacoby — Dentist · (816) 863-7096
Other names Copper Creek Dental
NPI enumeratedJune 7, 2018
Last updated in NPPESJune 7, 2018
Mailing address119 Jared Blvd, Webb City, MO 64870-9214

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