Individual provider · Type 1 NPI

Dorrance D. Clark, DDS, MSD

Periodontics · Warren, MI

NPI number 1104907617 Active

Practice location

2425 E 12 Mile Rd
Warren, MI 48092-5667

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X2901018485 (MI)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1104907617

Dorrance D. Clark, DDS, MSD's National Provider Identifier is 1104907617, issued on Oct 18, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Warren, MI. The record was last updated on Dec 18, 2025.