IndividualActive
Benjamin Clarke, D.D.S.
NPI 1679565402 · Dentist · Nellis Afb, NV
Provider details
- NPI number
- 1679565402
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 21488 (TX)
Practice location
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone: (702) 653-2600
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Registry dates
- Enumerated
- 2005-08-18
- Last updated
- 2021-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.