Brent Gilford Clark, DMD in Betsy Layne, KY - Dentist

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.

Contact Information

	Brent Gilford Clark, DMD
	Us 23 Hayes Complex, Betsy Layne, KY 41605-0001
	(606) 478-9090
	(606) 478-9191

Healthcare Provider's Profile

Full Name	Brent Gilford Clark
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	Us 23 Hayes Complex, Betsy Layne, Kentucky
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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Brent Gilford Clark, DMD - Dentist in Betsy Layne, KY