Brent W. Clark, DMD
Pediatric Dentistry · Wiesbaden, NY
UnclaimedDMDNPI 1174636419
- Primary taxonomy
- 1223P0221X
- Enumerated
- 2006-08-17
- Practice location
- Wiesbaden, NY
- Last NPPES update
- 2025-07-10
State licenses
- UT · Dentist · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.