DR. BRENT WAYNE CLARK DMD
NPI 1174636419
Dentist - Pediatric Dentistry in Wiesbaden, NY
- Individual
- Male
- Dentist
- Pediatric Dentistry
About BRENT CLARK
This page provides the complete NPI Profile along with additional information for Brent Clark, a provider established in Wiesbaden, New York with a medical specialization in Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1174636419 assigned on August 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 14192587-9926 (UT). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1174636419 Verify this NPI
- Provider Name
- DR. BRENT WAYNE CLARK DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- FLUGPLATZ ERBENHEIM 1040 WIESBADEN, NY 65205
- Location Phone
- (314) 590-1515
- Mailing Address
- UNIT 33100 BOX LANDSTUHL APO, AE 09180
- Mailing Phone
- (314) 590-1515
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-17-2006
- Last Update Date
- 07-10-2025
- Code Navigator
A dentist like Brent Clark is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 14192587-9926
- License State
- UT
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
WIESBADEN, WIESBADEN 65205
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174636419, enumerated as an "individual" on August 17, 2006.
The provider is located at FLUGPLATZ ERBENHEIM 1040 WIESBADEN, NY 65205 and the phone number is (314) 590-1515.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
