Organization · Type 2 NPI

Kimberly Carlyle-Clark, Dds, Ms, PA

Orthodontics and Dentofacial Orthopedics Dentistry · Orlando, FL

NPI number 1740620848 Active

Practice location

8255 Lee Vista Blvd, Suite #D
Orlando, FL 32829-8018

Call (407) 447-9060 Map

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN16534 (FL)

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 1740620848

Kimberly Carlyle-Clark, Dds, Ms, PA's National Provider Identifier is 1740620848, issued on Jul 3, 2013. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Orlando, FL. The record was last updated on Jul 3, 2013.