Clear Creek Family Dental Rogersville

NPI #1114633922 in Rogersville, Missouri

Provider Information

NPI Number: 1114633922
Entity Type: Organization
Organization Name: Clear Creek Family Dental Rogersville
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 25, 2023
Last Updated: Jan 25, 2023

Practice Location

Address: 203 JAMESTOWN BLVD UNIT A
City: Rogersville
State: Missouri
ZIP Code: 65742-6526
Phone: (417) 929-0000

Authorized Official

Name: DR. SAMUEL R ZIMMER, DDS
Title: DENTIST (PROVIDER)
Phone: (417) 929-0000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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