MARYLAND ORTHODONTIC SPECIALISTS
NPI 1083758460
Clinic/Center - Dental in Ellicott City, MD

Active since February 17, 2007
5094 DORSEY HALL DR, SUITE 204, ELLICOTT CITY, MD 21042(410) 992-7911(410) 992-0250 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryland Orthodontic Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLAND ORTHODONTIC SPECIALISTS (NPI 1083758460) is a healthcare organization registered as a dental in Ellicott City, Maryland and active in the NPI registry since February 2007. The organization lists Maxine Villiers Clark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083758460
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMAXINE V. CLARK, D.D.S., P.A.
Location Address5094 DORSEY HALL DR, SUITE 204Ellicott City, MD 21042-7820
Mailing Address5094 Dorsey Hall Dr, Suite 204Ellicott City, MD 21042-7820 · (410) 992-7911 · Fax (410) 992-0250
Fax(410) 992-0250
Organization SubpartNo
Authorized OfficialMaxine Villiers ClarkCeo · (410) 992-7911
Enumeration DateFebruary 17, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1083758460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in MD · 8300
5094 DORSEY HALL DR, Ellicott City, MD 21042

Other Names 1

Doing Business AsMaryland Orthodontic Specialists

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
5094 DORSEY HALL DR, SUITE 204
ELLICOTT CITY, MD 21042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxine V. Clark, D.D.S., P.A.'s NPI number?

The NPI number for Maxine V. Clark, D.D.S., P.A. is 1083758460. It was assigned to this organization in the NPPES registry on February 17, 2007. The provider is doing business as Maryland Orthodontic Specialists.

Where is Maxine V. Clark, D.D.S., P.A. located?

Maxine V. Clark, D.D.S., P.A. is located at 5094 Dorsey Hall Dr Suite 204, Ellicott City, MD 21042. The listed phone number is (410) 992-7911.

What is Maxine V. Clark, D.D.S., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Maxine V. Clark, D.D.S., P.A. accept?

Health plans from UnitedHealthcare list Maxine V. Clark, D.D.S., P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maxine V. Clark, D.D.S., P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.