Individual
DR. CLARENCE BRENT HAEBERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1430 JOHN WESLEY GILBERT DR, AUGUSTA, GA 30912-0004
(706) 721-2696
(706) 721-6778
Mailing address
1430 JOHN WESLEY GILBERT DR GC 4204, AUGUSTA, GA 30912-0004
(706) 721-2696
(706) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DNF000362
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003116961B
—
GA
Enumeration date
11/22/2006
Last updated
02/19/2026
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