Dr Brent Wayne Clark, DMD - Dentist in Wiesbaden, NY

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Dr Brent Wayne Clark, DMD is a Dentist - Pediatric Dentistry based in Wiesbaden, New York. Dr Brent Wayne Clark is licensed to practice in Utah (license number 14192587-9926) and his current practice location is Flugplatz Erbenheim 1040, Wiesbaden, New York. He can be reached at his office (for appointments etc.) via phone at (314) 590-1515.

NPI number for Dr Brent Wayne Clark is 1174636419 and his current mailing address is Unit 33100 Box Landstuhl, Apo, Armed Forces Europe. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174636419.

Contact Information

Dr Brent Wayne Clark, DMD
Flugplatz Erbenheim 1040,
Wiesbaden, NY 65205
(314) 590-1515
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Brent Wayne Clark
GenderMale
SpecialityDentist - Pediatric Dentistry
LocationFlugplatz Erbenheim 1040, Wiesbaden, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1174636419
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 07/10/2025

Medical Identifiers

Medical identifiers for Dr Brent Wayne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174636419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 14192587-9926 (Utah)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. Dr Brent Wayne 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 AddressPractice Location Address
Dr Brent Wayne Clark, DMD
Unit 33100 Box Landstuhl,
Apo, AE 09180-3100

Ph: (314) 590-1515		Dr Brent Wayne Clark, DMD
Flugplatz Erbenheim 1040,
Wiesbaden, NY 65205

Ph: (314) 590-1515

Reviews and Comments


Dentist in Wiesbaden, NY


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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