CLEAR CREEK DENTISTRY, PLLC (NPI# 1659738276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659738276 |
| Entity Type | Organization |
| Organization Name | CLEAR CREEK DENTISTRY, PLLC |
| Practice Address |
901 Normal Park Dr Ste 202 Huntsville TX 77320-3770 |
| Mailing Address |
5430 Pine Springs Ct Conroe TX 77304-4052 |
| Practice Telephone | 6173196674 |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-07-05 |
| Authorized Official Name | JEFFREY CLARK (OWNER) |
| Authorized Official Telephone | 9362910032 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
27909 | TX | Dental Providers |
| Street Address |
901 NORMAL PARK DR STE 202 |
| City | HUNTSVILLE |
| State | TX |
| Zip Code | 77320-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902442056 | Lone Star Community Health Center, Inc. | Clinic/Center | 227 Sh 75n Ste. 130, Huntsville, TX 77320 | 2019-11-25 |
| 1811546237 | Jennifer Congdon | Nurse Practitioner | 264 Fm 3478, Huntsville, TX 77320 | 2019-09-09 |
| 1164900379 | Melissa Sanders-devillier | Counselor | 107 W. Main St., Trinity, TX 77320 | 2018-07-31 |
| 1972050946 | Futuristikidz Residential Facility | Clinic/Center | 683 Fm 980rd., Huntsville, TX 77320 | 2016-09-07 |
| 1033583588 | Jacquelyn Elaine Shair | Counselor | 2521 Crosstimbers, Apt B-1, Huntsville, TX 77320 | 2015-11-20 |
| 1134526155 | Donna Marie Brinegar | Specialist/Technologist | 112 Magnolia Way, Huntsville, TX 77320 | 2014-11-20 |
| 1922338466 | 2t Enterprises Medpro Ems | Ambulance | 1425 Highway 75 North, Huntsville, TX 77320 | 2010-01-06 |
| 1346495884 | Rose Anna Renee Lerma | Massage Therapist | 101 Enfield Court, Huntsville, TX 77320 | 2008-11-25 |
| 1720298193 | Doris L Marshall | Custodial Care Facility | 21 Archie Rd, Huntsville, TX 77320 | 2007-05-23 |
| 1417171075 | Medpro Medical Services Inc | Ambulance | 1425 Hwy 75 N, Huntsville, TX 77320 | 2007-04-12 |
| Find all providers in zip 77320 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497316095 | Michael Brett Torello | Dentist | 112 Lily Flagg Rd Sw Ste A, Huntsville, AL 35802-3040 | 2019-06-25 |
| 1457910564 | Andrew Henninger | Dentist | 2246 Winchester Rd Ne Ste 106, Huntsville, AL 35811-6801 | 2019-06-12 |
| 1528534179 | Amy D. Thompson, Dmd, PC | Dentist | 111 Park Place Dr Ste F, Huntsville, AL 35806-4252 | 2018-10-22 |
| 1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
| 1336681063 | Balmoral Dental Center | Dentist | 4000 Balmoral Dr Sw Ste 201, Huntsville, AL 35801-7432 | 2016-11-11 |
| 1760842066 | Qussay Al Jawhar | Dentist | 3011 Highway 30 W Ste 101c, Huntsville, TX 77340-3534 | 2016-02-29 |
| 1437528262 | Smdr LLC | Dentist | 2313 Starmount Cir Sw, Huntsville, AL 35801-3817 | 2015-09-22 |
| 1366831372 | Pwd Dentistry Management LLC | Dentist | 2804 Lake Rd Ste 5, Huntsville, TX 77340-5626 | 2015-01-14 |
| 1689001638 | Stonecreek Acquisitions | Dentist | 7224 Governors West Nw, Huntsville, AL 35806-2051 | 2013-10-07 |
| 1316373830 | Thomas Mcclain Vaughn | Dentist | 2321 Whitesburg Dr Se, Huntsville, AL 35801-3819 | 2013-09-16 |
| Find all providers in HUNTSVILLE | ||||
| City | HUNTSVILLE |
| Zip Code | 77320 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.