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DR. BRENT WAYNE CLARK DMD
NPI 1174636419
Dentist - Pediatric Dentistry in Wiesbaden, NY

Active since August 17, 2006
FLUGPLATZ ERBENHEIM 1040, WIESBADEN, NY 65205(314) 590-1515 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brent Wayne Clark Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRENT WAYNE CLARK DMD (NPI 1174636419) is an individual pediatric dentistry provider in Wiesbaden, New York, licensed in Utah (14192587-9926) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1174636419
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. BRENT WAYNE CLARKCredential: DMD
Location AddressFLUGPLATZ ERBENHEIM 1040Wiesbaden, NY 65205
Mailing AddressUnit 33100 Box LandstuhlApo, AE 09180-3100 · (314) 590-1515
Phone(314) 590-1515
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1174636419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in UT · 14192587-9926
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
FLUGPLATZ ERBENHEIM 1040, Wiesbaden, NY 65205
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SIBY MATHEW BABY PHARMD
Pharmacist
FLUGPLATZ ERBENHEIM 1040
WIESBADEN, CLAY KASERNE 65205
Boone County (496) 371-9464
DR. FREDERICK BENTON DRUMMOND DDS
Dentist
FLUGPLATZ ERBENHEIM 1040
WIESBADEN, HESSEN 65205
Boone County (314) 590-1515
DR. BENJAMIN T CANIPE DO
Family Medicine
FLUGPLATZ ERBENHEIM 1040
APO, AE 65205
Boone County (304) 315-2057
DR. JASON UMBACH DMD, MS
Dentist (Endodontics)
FLUGPLATZ ERBENHEIM 1040
WIESBADEN, GERMANY 65205
Boone County (314) 590-1515
MS. AVIANCE DENISE BETTS APRN
Registered Nurse (Psychiatric/Mental Health)
FLUGPLATZ ERBENHEIM 1040
WIESBADEN, WIESBADEN 65205
Boone County (314) 590-1441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brent Clark's NPI number?

The NPI number for Brent Clark is 1174636419. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Brent Clark located?

Brent Clark practices at Flugplatz Erbenheim 1040, Wiesbaden, NY 65205. The listed phone number is (314) 590-1515.

What is Brent Clark's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Brent Clark was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.