Doctor profile · Federal record
Dr. Benjamin Clark, D.D.S.
Orthodontics and Dentofacial Orthopedic Dentist · General Practice Dentistry · Jbsa Lackland, TX
- NPI 1598743627
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
(210) 292-8629 - Additional location
-
52 Medical Group, Unit 3690
Apo, AE 09126
(314) 452-3184
Credentials & registration
- NPI registered
- January 2006 — 20 yrs on file
- Profile last updated
- August 17, 2023
- Specialty taxonomy
- 1223X0400X — NUCC code
- State licenses (2)
- Texas #24280 · Tennessee #8412
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1598743627. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$49
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Solventum Corporation | 1 | $49.11 |
By nature of payment
Frequently asked questions
What is Dr. Benjamin Clark's medical specialty?
Dr. Benjamin Clark practices Orthodontics and Dentofacial Orthopedic Dentist in Jbsa Lackland, TX.
Where does Dr. Benjamin Clark practice?
Dr. Benjamin Clark practices at 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 782365638. Office phone: 2102928629.
What is Dr. Benjamin Clark's NPI?
Dr. Benjamin Clark's National Provider Identifier (NPI) is 1598743627, issued by NPPES.