DR. DARRELL ADRIAN CLARK D.D.S.
NPI 1568681682
Dentist - Orthodontics and Dentofacial Orthopedics in Waldorf, MD

Active since April 25, 2007
12070 OLD LINE CTR, WALDORF, MD 20602(301) 638-0282 Get Directions Write a Review

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Darrell Adrian Clark D.d.s. NPPES

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

DR. DARRELL ADRIAN CLARK D.D.S. (NPI 1568681682) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Waldorf, Maryland and active in the NPI registry since April 2007. The organization lists Darrell Adrian Clark, President, as its authorized official.

NPPES Registry Identity

NPI1568681682
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameDR. DARRELL ADRIAN CLARK D.D.S.
Location Address12070 OLD LINE CTRWaldorf, MD 20602-2513
Mailing Address3102 Dunkagle CtBowie, MD 20721-1261 · (301) 512-0132 · Fax (301) 218-1623
Organization SubpartNo
Authorized OfficialDarrell Adrian ClarkPresident · (301) 512-0132
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 12, 2011
NPI 1568681682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MD · 8308
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 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.
12070 OLD LINE CTR, Waldorf, MD 20602

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Specialist
12070 OLD LINE CTR, SUITE 100
WALDORF, MD 20602
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, SUITE 200
WALDORF, MD 20602
Internal Medicine (Gastroenterology)
12070 OLD LINE CTR, STE 200
WALDORF, MD 20602
Physician Assistant (Medical)
12070 OLD LINE CTR, STE 207
WALDORF, MD 20602
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12070 OLD LINE CTR
SAINT CHARLES, MD 20602
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, SUITE 303
WALDORF, MD 20602
Family Medicine
12070 OLD LINE CTR, SUITE 302
WALDORF, MD 20602
Internal Medicine (Cardiovascular Disease)
12070 OLD LINE CTR, STE 303
WALDORF, MD 20602

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 Dr. Darrell Adrian Clark D.D.S.'s NPI number?

The NPI number for Dr. Darrell Adrian Clark D.D.S. is 1568681682. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Dr. Darrell Adrian Clark D.D.S. located?

Dr. Darrell Adrian Clark D.D.S. is located at 12070 Old Line Ctr, Waldorf, MD 20602. The listed phone number is (301) 638-0282.

What is Dr. Darrell Adrian Clark D.D.S.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Dr. Darrell Adrian Clark D.D.S. was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.