IndividualActive
Brent Clark, DMD
NPI 1508906751 · Orthodontics and Dentofacial Orthopedics Dentistry · Betsy Layne, KY
Provider details
- NPI number
- 1508906751
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4980 (KY)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
US 23 Hayes Complex
Betsy Layne, KY 41605-0001
Phone: (606) 478-9090
Fax: (606) 478-9191
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1
Betsy Layne, KY 41605-0001
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.