BENJAMIN R CLARKE D.D.S.
NPI 1679565402
Dentist in Nellis Afb, NV

Q: What is Benjamin Clarke's NPI number?

The NPI number for Benjamin Clarke is 1679565402. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Benjamin Clarke's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Clarke was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since August 18, 2005

4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2600 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2021, Jul 17, 2019 (2 updates tracked since 2019).

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About Benjamin R Clarke D.d.s. NPPES

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

BENJAMIN R CLARKE D.D.S. (NPI 1679565402) is an individual dentist in Nellis Afb, Nevada, licensed in Texas (21488) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1679565402

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameBENJAMIN R CLARKECredential: D.D.S.

Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600

Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2600

Phone(702) 653-2600

Sole ProprietorYes

Enumeration DateAugust 18, 2005

Last NPPES UpdateMay 27, 20212 updates tracked since enumeration

NPPES CertifiedMay 27, 2021

✔ NPI 1679565402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 21488

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

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