# CLEAR CREEK DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clear Creek Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598579898
- **Authorized official:** JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 2430 NW MYHRE RD STE 201, SILVERDALE, WA 98383-7669
- **Practice address phone:** (360) 692-6332
- **Mailing address:** 2430 NW MYHRE RD STE 201, SILVERDALE, WA 98383-7669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2025
- **Last updated:** 02/05/2025