DR. DARRELL ADRIAN CLARK D.D.S. (NPI# 1285835991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285835991 |
| Entity Type | Organization |
| Organization Name | DR. DARRELL ADRIAN CLARK D.D.S. |
| Practice Address |
8839 Branch Ave Clinton MD 20735-2632 |
| Mailing Address |
3102 Dunkagle Ct Bowie MD 20721-1261 |
| Practice Telephone | 3018561234 |
| Mailing Telephone | 3012181622 |
| Mailing Fax Number | 3012181623 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | DR. DARRELL ADRIAN CLARK (PRESIDENT) |
| Authorized Official Telephone | 3018561234 |
| Authorized Official Credential | D.D.S. P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8308 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568681682 | Dr. Darrell Adrian Clark D.d.s. | Dentist | 12070 Old Line Ctr, Waldorf, MD 20602-2513 | 2007-04-25 |
| Street Address |
8839 BRANCH AVE |
| City | CLINTON |
| State | MD |
| Zip Code | 20735-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940456 | Elise Olson | Occupational Therapist | 9135 Piscataway Rd, Suite 305, Clinton, MD 20735 | 2019-03-12 |
| 1437651742 | Total You Integrative Healthcare Inc | Clinic/Center | 9135 Piscataway Rd Ste 410, Clinton, MD 20735 | 2018-03-02 |
| 1386193233 | Benedicta C Osamor | Home Health Aide | 6808 Purple Lilac Ln, Clinton, MD 20735 | 2016-10-03 |
| 1669926309 | Frankline Ngozi Obi I | Home Health Aide | 8111 Highland Meadows Dr, Clinton, MD 20735 | 2016-08-11 |
| 1770952459 | Adventures One, Inc. | Clinic/Center | 7121 Old Alexandria Ferry Rd., Clinton, MD 20735 | 2015-09-23 |
| 1730574831 | Lindsey Degeorge | Emergency Medicine | 7503 Surratts Rd Dept Of, Clinton, MD 20735 | 2015-04-06 |
| 1316341860 | Margaret Laurence-whitlock | Speech-Language Pathologist | 5807 Terence Dr., Laurence Learning Center, Clinton, MD 20735 | 2014-10-13 |
| 1699103622 | Dcps | Social Worker | 5504 Trout Run Rd, Clinton, MD 20735 | 2013-10-30 |
| 1902232614 | Rafael Antonio Acosta | Dentist | 7905 Malcolm Rd Ste 300, Clinton, MD 20735 | 2013-09-25 |
| 1407135874 | Richelle Wilson Harvey | Occupational Therapist | 8202 Shackelford Way, Clinton, MD 20735 | 2011-08-16 |
| Find all providers in zip 20735 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| 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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558645580 | Tram Ngoc Nguyen | Dentist | 6306 Kirby Rd, Clinton, MD 20735-1336 | 2011-10-10 |
| 1356491666 | John C. Pryse,jr. | Dentist | 180 Edgewood Ave, Clinton, TN 37716-2817 | 2007-01-11 |
| 1548328370 | Kenneth Spencer Carlough | Dentist | 248 E Main St, Clinton, CT 06413-2230 | 2006-12-05 |
| 1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
| 1982781340 | Eastern Iowa Orthodontics | Dentist | 314 3rd Ave S, Clinton, IA 52732-4436 | 2006-11-01 |
| 1174619712 | Sandy E Rushing | Dentist | 749 Clinton Parkway, Clinton, MS 39056 | 2006-10-04 |
| 1659462885 | S Everett Rushing, Dmd,pa | Dentist | 749 Clinton Pkwy, Clinton, MS 39056-5245 | 2006-09-26 |
| 1235510199 | Robert Geiman | Dentist | 248 E Main St, Clinton, CT 06413-2230 | 2015-06-16 |
| 1477790699 | Richard P Johnsen | Dentist | Highway 31, Walnut Pond Professional Building, Clinton, NJ 08809 | 2009-01-09 |
| 1881722288 | David William Schrody | Dentist | 2635 Lincoln Way, Suite E, Clinton, IA 52732-7203 | 2007-02-28 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.