Clear Creek Family Dental - Mt. Vernon LLC
NPI 1417881244ActiveOrganization· Dentist, General Practice· Mount Vernon, MO
Dentist, General Practice in Mount Vernon, Missouri, registered in NPPES in June 2026. The authorized official on file is Joshua Tanner Rust, DDS, Owner.
Overview
| NPI | 1417881244 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2026 |
| Last updated in NPPES | Jun 9, 2026 |
| Certified by provider | Jun 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist, General Practice providers in Mount Vernon
- 1942681994
- 1952403040
- 1992807127
- 1437140217
- 1770611873
- 1932201886
- 1427235860
- 1740382811
- 1215995683