Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT GILFORD CLARK, DMD
Active Sole ProprietorBRENT GILFORD CLARK, DMD is a Orthodontics healthcare provider located in BETSY LAYNE, Kentucky. NPI 1508906751 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · BETSY LAYNE, KY
Registration Details
- NPI Number
- 1508906751
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2007 (19.512738269533 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
4980 (KY)4980 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
US 23 HAYES COMPLEXBETSY LAYNE, KY, 416050001Browse KY providers · Browse ZIP 41605
- Phone
- 6064789090
- Fax
- 6064789191
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.