Brent Gilford Clark, DMD is a
Dentist - Orthodontics And Dentofacial Orthopedics based in Betsy Layne, Kentucky. Brent Gilford Clark is licensed to practice in Kentucky (license number 4980) and his current practice location is
Us 23 Hayes Complex, Betsy Layne, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 478-9090.
NPI number for Brent Gilford Clark is 1508906751 and his current mailing address is Po Box 1, Betsy Layne, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508906751.
Healthcare Provider's Profile
Full Name | Brent Gilford Clark |
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Gender | Male |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
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Location | Us 23 Hayes Complex, Betsy Layne, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508906751
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Brent Gilford Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508906751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4980 (Kentucky) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4980 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brent Gilford Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Brent Gilford Clark, DMD Po Box 1, Betsy Layne, KY 41605-0001 Ph: (606) 478-9090 | Brent Gilford Clark, DMD Us 23 Hayes Complex, Betsy Layne, KY 41605-0001 Ph: (606) 478-9090 |
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