Clark, Brent Gilford

Clark, Brent Gilford is an sole proprietor health care provider with primary practice located at Us 23 Hayes Complex , Betsy Layne KY 41605-0001. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is his primary health care specialty. Clark, Brent Gilford can be contacted via phone (606) 478-9090.

Contact Information

Primary practice address
Us 23 Hayes Complex Betsy Layne KY 41605-0001
Fax: (606) 478-9191
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4980 Kentucky
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4980 Kentucky

Profile Details

NPI number 1508906751
LBN Legal business name Clark, Brent Gilford
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers