Clarence Brent Haeberle, DMD
NPI 1912072174ActiveIndividual· Dentist, Prosthodontics· Augusta, GA
Dentist, Prosthodontics (DMD) in Augusta, Georgia, licensed in GA, with an NPI issued in November 2006. Enrolled in Medicare as order and referring only - other (physician).
Overview
| NPI | 1912072174 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DMD |
| Sole proprietor | No |
| NPI issued | Nov 22, 2006 |
| Last updated in NPPES | Feb 19, 2026 |
| Certified by provider | Feb 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | DNF000362 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Other (Physician) (GA) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, Prosthodontics providers in Augusta
- 1265815997
- 1972559722
- 1982859203
- 1134108582
- 1194944645
- 1528188075
- 1538836556
- 1932278629
- 1316990120
- 1740214170
- 1124076328
- 1306068192