# CLEAR CREEK DENTAL, LLC

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

## Provider details

- **NPI number:** 1861671240
- **Authorized official:** DR. JACK LEWIS HARRINGTON DDS (OWNER)
- **Authorized official phone:** (775) 267-2244

## Contact information

- **Practice address:** 3790 US HIGHWAY 395 S, STE 103, CARSON CITY, NV 89705-6898
- **Practice address phone:** (775) 267-2244
- **Practice address fax:** (775) 267-2115
- **Mailing address:** 3790 US HIGHWAY 395 S, STE 103, CARSON CITY, NV 89705-6898
- **Mailing address phone:** (775) 267-2244
- **Mailing address fax:** (775) 267-2115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 868 | NV | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 11/01/2007