DR. ANDREW EDWARD CLARK DMD
NPI 1992017164
Dentist - Orthodontics and Dentofacial Orthopedics in Tallahassee, FL

Active since July 05, 2010
5555 ROANOKE TRAIL, TALLAHASSEE, FL 32312(850) 385-2822(850) 385-9476 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrew Edward Clark Dmd NPPES

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

DR. ANDREW EDWARD CLARK DMD (NPI 1992017164) is an individual orthodontics and dentofacial orthopedics provider in Tallahassee, Florida, licensed in Florida (DN 19032) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1992017164
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. ANDREW EDWARD CLARKCredential: DMD
Location Address5555 ROANOKE TRAILTallahassee, FL 32312
Mailing Address5555 Roanoke TrailTallahassee, FL 32312 · (850) 385-2822 · Fax (850) 385-9476
Fax(850) 385-9476
Sole ProprietorNo
Enumeration DateJuly 5, 2010
Last NPPES UpdateApril 24, 2025
NPI 1992017164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in FL · DN 19032
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DN 19032 (FL)
5555 ROANOKE TRAIL, Tallahassee, FL 32312

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 Andrew Clark's NPI number?

The NPI number for Andrew Clark is 1992017164. It was assigned to this individual provider in the NPPES registry on July 5, 2010.

Where is Andrew Clark located?

Andrew Clark practices at 5555 Roanoke Trail, Tallahassee, FL 32312. The listed phone number is (850) 385-2822.

What is Andrew Clark'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 Andrew Clark was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.