Darrell Adrian Clark in Waldorf - Orthodontics And Dentofacial Orthopedics
Darrell Adrian Clark - NPI 1992928006
Darrell Adrian Clark is a Orthodontics And Dentofacial Orthopedics in Waldorf, Maryland. Darrell Adrian Clark practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Darrell Adrian Clark is 1992928006. The last update date is 2007-07-08.
Darrell Adrian Clark's current location address is 12070 Old Line Ctr, Waldorf, Maryland. You can contact this provider via phone number 3016380282. The mailing address for Darrell Adrian Clark is 12070 Old Line Ctr, Waldorf, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrell Adrian Clark |
|---|---|
| Address | 12070 Old Line Ctr, Waldorf, Maryland |
| Phone Number | 3016380282 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1992928006 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12070 Old Line Ctr |
|---|---|
| City | Waldorf |
| State | Maryland (MD) |
| Post Code | 206022513 |
| Phone Number | 3016380282 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 8308 |
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Definition: 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 rel |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Darrell Adrian Clark by the Centers for Medicare & Medicaid Services?
The Darrell Adrian Clark has been assigned the NPI (National Provider Identifier) 1992928006 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Darrell Adrian Clark?
The Darrell Adrian Clark is physically situated at 12070 Old Line Ctr, in the city of Waldorf, state of MD, with the postal code 206022513.
What is Darrell Adrian Clark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Darrell Adrian Clark is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1992928006 to Darrell Adrian Clark?
The Centers for Medicare & Medicaid Services originally issued the 1992928006 to Darrell Adrian Clark on 2007-04-10.
When was the information pertaining to Darrell Adrian Clark most recently updated or revised?
The details related to Darrell Adrian Clark, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.