Individual provider · Type 1 NPI
Darrell Adrian Clark, DDS
Orthodontics and Dentofacial Orthopedics Dentistry · Waldorf, MD
Practice location
12070 Old Line Ctr
Waldorf, MD 20602-2513
Mailing address
3102 Dunkagle Ct
Bowie, MD 20721-1261
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 8308 (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 1992928006
Darrell Adrian Clark, DDS's National Provider Identifier is 1992928006, issued on Apr 10, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Waldorf, MD. The record was last updated on Jul 8, 2007.