Individual provider · Type 1 NPI
Brent Gilford Clark, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Betsy Layne, KY
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
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 4980 (KY) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 4980 (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.