Organization
CLEAR CREEK FAMILY DENTAL - MT. VERNON LLC
Active
Other names
Clear Creek Family - Mt. Vernon
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA TANNER RUST DDS (OWNER)
(417) 427-9123
Entity
Organization
Contact information
Practice address
1103 S LANDRUM ST, MOUNT VERNON, MO 65712-1931
(417) 427-9123
(417) 268-9121
Mailing address
1103 S LANDRUM ST, MOUNT VERNON, MO 65712-1931
(417) 427-9123
(417) 268-9121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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