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DR. CLARENCE BRENT HAEBERLE DMD
NPI 1912072174
Dentist - Prosthodontics in Augusta, GA

Active since November 22, 2006PECOS Enrolled
1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 30912(706) 721-2696(706) 721-6778 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2023, Oct 22, 2021, Mar 12, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Clarence Brent Haeberle Dmd NPPES

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

DR. CLARENCE BRENT HAEBERLE DMD (NPI 1912072174) is an individual prosthodontics provider in Augusta, Georgia, licensed in Georgia (DNF000362) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912072174
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameDR. CLARENCE BRENT HAEBERLECredential: DMD
Location Address1430 JOHN WESLEY GILBERT DRAugusta, GA 30912-0004
Mailing Address1430 John Wesley Gilbert Dr Gc 4204Augusta, GA 30912-0004 · (706) 721-2696 · Fax (706) 721-6778
Phone(706) 721-2696
Fax(706) 721-6778
Sole ProprietorNo
Enumeration DateNovember 22, 2006
Last NPPES UpdateFebruary 19, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1912072174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in GA · DNF000362
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
1430 JOHN WESLEY GILBERT DR, Augusta, GA 30912
Open in Google Maps ↗

Other Identifiers 1

Medicaid003116961BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clarence Brent Haeberle Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30912 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. CELINE JOYCE CORNELIUS TIMOTHIUS BDS, MS, MSD
Dentist (Periodontics)
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Richmond County (706) 721-2441
DR. JOSHUA WHITE DMD
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Richmond County (706) 721-4025
DR. COURTNEY SHAW BABB DMD
Dentist (General Practice)
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Richmond County (706) 721-3881
DR. MIRA GHALY DMD, MSC
Dentist (Periodontics)
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Richmond County (706) 721-2442
DR. KENNETH ERIC JONES DDS
Dentist
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Richmond County (706) 721-8349
SOLAFAH TRABZOUNI DDS, MS
Dentist (General Practice)
1430 JOHN WESLEY GILBERT DR, GC 1012
AUGUSTA, GA 30912
Richmond County (706) 721-2371
REID HILL
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Richmond County (615) 477-8111
JUSTIN LANE
Student in an Organized Health Care Education/Training Program
1430 JOHN WESLEY GILBERT DR
AUGUSTA, GA 30912
Richmond County (706) 721-2371

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 Clarence Haeberle's NPI number?

The NPI number for Clarence Haeberle is 1912072174. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Clarence Haeberle located?

Clarence Haeberle practices at 1430 John Wesley Gilbert Dr, Augusta, GA 30912. The listed phone number is (706) 721-2696.

What is Clarence Haeberle's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Clarence Haeberle enrolled in Medicare?

Yes. Clarence Haeberle is registered in the Medicare PECOS enrollment system.

What insurance does Clarence Haeberle accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Clarence Haeberle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clarence Haeberle was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.