Dr. Brent Wayne Clark is a Wiesbaden, New York based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Brent Wayne Clark is
14192587-9926 for Pediatric Dentistry in Utah. His current practice location is
Flugplatz Erbenheim 1040, Wiesbaden. Patients can reach him at
314-590-1515.
Dr. Brent Wayne Clark provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Brent Wayne Clark speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Brent Wayne Clark |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DMD |
| Accepts Medicare Assignment: | No |
| Practice Address: | Flugplatz Erbenheim 1040, Wiesbaden,
New York, 65205 |
| Phone: | 314-590-1515 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1174636419 |
| NPI Enumeration Date: | 17 Aug, 2006 |
| NPI Last Update On: | 10 Jul, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brent Wayne Clark are as mentioned below.
| License Number | Specialization | State | Status | |
| 14192587-9926 | Pediatric Dentistry | Utah | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Unit 33100 Box Landstuhl,
Apo, Armed Forces Europe |
| Zip: | 09180-3100 |
| Phone Number: | 314-590-1515 |
Patients can reach Dr. Brent Wayne Clark at
Flugplatz Erbenheim 1040, Wiesbaden, New York or can
call to book an appointment on 314-590-1515.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.