Brett Guy Clerc, DDS

Individual provider Active NPI Dentist · Benson, AZ

NPI 1710944772 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1710944772
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
4014 (AZ)
Practice address
475 S Ocotillo
Benson, AZ 85602-2046
Phone
(520) 586-7056
Fax
(520) 586-0770
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4014AZMDDentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4014 AZ Yes

Addresses

Primary practice location

475 S Ocotillo
Benson, AZ 85602-2046

Mailing address

PO Box 2046
Benson, AZ 85602-2046
Phone (520) 586-7056

Other providers in Benson, AZ

All providers in Benson, AZ · Dentist in Arizona

Sources for this page

Verify at the official NPI Registry.