Individual provider · Type 1 NPI

Maxine Villiers Clark, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Ellicott City, MD

NPI number 1386865137 Active

Practice location

5094 Dorsey Hall Dr, Suite 204
Ellicott City, MD 21042

Call (410) 992-7911 Map

Fax (410) 992-0250

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X8300 (MD)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1386865137

Maxine Villiers Clark, DDS's National Provider Identifier is 1386865137, issued on May 1, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Ellicott City, MD. The record was last updated on Jul 8, 2007.