BRENT GILFORD CLARK (NPI# 1508906751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508906751 |
| Entity Type | Individual |
| Full Name | BRENT GILFORD CLARK |
| Credential | DMD |
| Practice Address |
Us 23 Hayes Complex Betsy Layne KY 41605-0001 |
| Mailing Address |
Po Box 1 Betsy Layne KY 41605-0001 |
| Practice Telephone | 6064789090 |
| Practice Fax Number | 6064789191 |
| Mailing Telephone | 6064789090 |
| Mailing Fax Number | 6064789191 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 1223G0001X |
Dentist Specialization: General Practice |
4980 | KY | Dental Providers |
| X | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4980 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174636419 | Brent Wayne Clark | Dentist | 103 Superior Dr, Spring Lake, NC 28390-3193 | 2006-08-17 |
| 1902874456 | Brent Clark | Family Medicine | 9816 Frankstown Rd, Pittsburgh, PA 15235-1643 | 2006-03-10 |
| 1952830226 | Brent Clark | Nurse Practitioner | 631 Main Street, Bethel, AK 99559-1908 | 2017-06-08 |
| 1407820418 | Brent A Clark | Podiatrist | 526 N Mullan Rd, Spokane Valley, WA 99206-2408 | 2006-02-15 |
| Street Address |
US 23 HAYES COMPLEX |
| City | BETSY LAYNE |
| State | KY |
| Zip Code | 41605-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982092482 | Betsy Layne Physical Therapy LLC | Physical Therapist | 10824 Us 23 South, Suite 102, Betsy Layne, KY 41605 | 2015-01-06 |
| 1982885349 | Appalachian Rehabilitation Team, Inc | Physical Therapist | 10824 Us Hwy 23 South, Suite 102, Betsey Layne, KY 41605 | 2007-11-14 |
| 1831570399 | Loki Inc | Preferred Provider Organization | 10824 Us 23 South, Suite 102, Betsy Layne, KY 41605 | 2015-06-10 |
| 1700051075 | Floyd County Health Department | Public Health or Welfare | 256 School Street, Betsy Layne, KY 41605 | 2008-04-28 |
| 1417161787 | Susan Darnell Turner Iv | Speech-Language Pathologist | 256 School Street, Betsy Layne, KY 41605-0128 | 2007-05-09 |
| 1487642203 | Mike Lusk | Pharmacist | 111 Hays Complex, Hwy 23, Betsy Layne, KY 41605-0436 | 2005-10-06 |
| 1801420450 | Mountain Recovery Services, LLC | Family Medicine | 76 George Rd, Betsy Layne, KY 41605-7013 | 2020-02-22 |
| 1821046129 | Floyd County Health Department | Public Health or Welfare | 433 George Rd, Betsy Layne, KY 41605-7013 | 2006-05-05 |
| 1194710491 | Franklin R. Stumbo | Physical Therapist | 10824 Us Highway 23 S Ste 102, Betsy Layne, KY 41605-7062 | 2005-09-13 |
| 1164558912 | Betsy Layne Pharmacy Inc | Pharmacy | 11105 Us Highway 23 S, Betsy Layne, KY 41605-9998 | 2007-02-26 |
| Find all providers in zip 41605 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762895 | Kathryn Haire | Dentist | 507 Market Place Drive, Maysville, KY 41056 | 2020-08-26 |
| 1316556335 | Matthew Gregory Gleis | Dentist | 10515 Meeting St Unit 104, Prospect, KY 40059-6524 | 2020-07-26 |
| 1003434747 | Mckinney Family Dentistry LLC | Dentist | Jct Route 680 & Hwy 122, Minnie, KY 41651 | 2020-07-09 |
| 1245856764 | Michael Frankart | Dentist | 4135 Alexandria Pike Ste 209, Cold Spring, KY 41076-6802 | 2020-06-20 |
| 1609492297 | Corey Shannon Carter | Dentist | 415 N Lake Dr, Prestonsburg, KY 41653-1223 | 2020-06-19 |
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1396360798 | Hannah T Mckenzie | Dentist | 635 Maysville Rd Ste B, Mount Sterling, KY 40353-9767 | 2020-06-11 |
| 1457974883 | Aarti Sachin Prabhu | Dentist | Northern Kentucky Dental Centers, 2446 Anderson Road, Crescent Springs, KY 41017-4101 | 2020-05-20 |
| 1558982223 | Kenneth Taylor Ruby | Dentist | 152 Parkers Mill Rd Unit A, Somerset, KY 42501-3150 | 2020-05-04 |
| 1902432537 | Dhda Providerco, Pllc | Dentist | 13104 W Highway 42, Prospect, KY 40059-9102 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | BETSY LAYNE |
| Zip Code | 41605 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.