Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Clear Creek Family Dental - Mt. Vernon LLC

General Practice Dentistry in Mount Vernon, MO · enumerated 2026 · authorized official Joshua Rust, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417881244

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Clear Creek Family Dental - Mt. Vernon LLC

Practice address 1103 S Landrum St, Mount Vernon, MO, 65712

Phone (417) 427-9123

Fax (417) 268-9121

Enumeration date Jun 9, 2026

Last updated in NPPES Jun 9, 2026

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Joshua Rust

Title Owner

Phone (417) 427-9123

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Clear Creek Family Dental - Mt. Vernon LLC?

Clear Creek Family Dental - Mt. Vernon LLC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

Providers at this address

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Paul Beard General Practice Dentistry · Mount Vernon, MO NPI 1770611873

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-09.