Organization
CLEAR CREEK FAMILY DENTAL ROGERSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL R ZIMMER DDS (DENTIST (PROVIDER))
(417) 929-0000
Entity
Organization
Contact information
Practice address
203 JAMESTOWN BLVD UNIT A, ROGERSVILLE, MO 65742-6526
(417) 929-0000
(417) 929-0009
Mailing address
203 JAMESTOWN BLVD UNIT A, ROGERSVILLE, MO 65742-6526
(417) 929-0000
(417) 929-0009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
01/25/2023
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