Individual provider · Type 1 NPI

Brent Gilford Clark, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Betsy Layne, KY

NPI number 1508906751 Active

Practice location

US 23 Hayes Complex
Betsy Layne, KY 41605-0001

Fax (606) 478-9191

Mailing address

PO Box 1
Betsy Layne, KY 41605-0001

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X4980 (KY)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X4980 (KY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

About NPI 1508906751

Brent Gilford Clark, DMD's National Provider Identifier is 1508906751, issued on Feb 7, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Betsy Layne, KY. The record was last updated on Sep 11, 2025.