Clear Creek Dentistry, Pllc | |
901 Normal Park Dr Ste 202 Huntsville TX 77320-3770 | |
(617) 319-6674 | |
Not Available |
Full Name | Clear Creek Dentistry, Pllc |
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Speciality | Dentist - General Practice |
Location | 901 Normal Park Dr Ste 202, Huntsville, Texas |
Authorized Official Name and Position | Jeffrey Clark (OWNER) |
Authorized Official Contact | 9362910032 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clear Creek Dentistry, Pllc 5430 Pine Springs Ct Conroe TX 77304-4052 Ph: () - | Clear Creek Dentistry, Pllc 901 Normal Park Dr Ste 202 Huntsville TX 77320-3770 Ph: (617) 319-6674 |
NPI Number | 1659738276 |
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Provider Enumeration Date | 01/27/2016 |
Last Update Date | 07/05/2016 |
Identifier | Type | State | Issuer |
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1659738276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 27909 (Texas) | Primary |
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