IndividualActiveAccepts Medicare
Clarence Haeberle, DMD
NPI 1912072174 · Prosthodontics · Augusta, GA
Enrolled with Medicare as Order and Referring Only - Other (physician) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1912072174
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DNF000362 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 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
1430 John Wesley Gilbert Dr
Augusta, GA 30912-0004
Phone: (706) 721-2696
Fax: (706) 721-6778
Approximate (ZIP-level) locationGet directions
Mailing address
1430 John Wesley Gilbert Dr Gc 4204
Augusta, GA 30912-0004
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.