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Brent Clark, DMD
NPI 1174636419 · Pediatric Dentistry · Wiesbaden, NY
Brent Clark, DMD is a Pediatric Dentistry provider in Wiesbaden, NY (NPI 1174636419).
Provider details
- NPI number
- 1174636419
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 14192587-9926 (UT)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Flugplatz Erbenheim 1040
Wiesbaden, NY 65205
Phone: (314) 590-1515
Approximate (ZIP-level) locationGet directions
Mailing address
Unit 33100 Box Landstuhl
Apo, AE 09180-3100
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2025-07-10
- Certified
- 2025-06-25
Frequently asked questions
- What is Brent Clark's NPI number?
- Brent Clark's National Provider Identifier (NPI) is 1174636419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brent Clark's specialty?
- Brent Clark is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Brent Clark located?
- Brent Clark's practice location on file with NPPES is Flugplatz Erbenheim 1040, Wiesbaden, NY 65205.
- What is Brent Clark's phone number?
- The practice phone number listed in the NPPES registry for Brent Clark is (314) 590-1515.
- Is Brent Clark's NPI active?
- Yes — Brent Clark's NPI (1174636419) is active in the NPPES registry as of the last update on 2025-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.