Individual provider · Type 1 NPI

Clarence Brent Haeberle, DMD

Prosthodontics · Augusta, GA

NPI number 1912072174 Active

Practice location

1430 John Wesley Gilbert Dr
Augusta, GA 30912-0004

Call (706) 721-2696 Map

Fax (706) 721-6778

Mailing address

1430 John Wesley Gilbert Dr Gc 4204
Augusta, GA 30912-0004

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700XDNF000362 (GA)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1912072174

Clarence Brent Haeberle, DMD's National Provider Identifier is 1912072174, issued on Nov 22, 2006. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Augusta, GA. The record was last updated on Feb 19, 2026.