Clark, Darrell Adrian
Clark, Darrell Adrian is an sole proprietor health care provider with primary practice located at 12070 Old Line Ctr , Waldorf MD 20602-2513. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Clark, Darrell Adrian can be contacted via phone (301) 638-0282.Contact Information
Primary practice address
12070 Old Line Ctr
Waldorf MD 20602-2513
Phone: (301) 638-0282
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 8308 | Maryland |
Profile Details
| NPI number | 1992928006 |
|---|---|
| LBN Legal business name | Clark, Darrell Adrian |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Schach, Raphael T
4351 New Falls Rd , Levittown PA 19056-3006 -
Schupak, Gail Ellen
30 Central Park S Suite 6C, New York NY 10019-1628 -
Krishnan, Radha
294 Merrimac Ct Ste 294, Prince Frederick MD 20678-4110 -
Tong, Besi Long
3500 Old Washington Rd Ste 301 , Waldorf MD 20602 -
Graf, Steven J
4738 Scotts Valley Dr Ste C, Scotts Valley CA 95066-4239 -
Mckenna, Mark Joseph
424 N High St , Morristown TN 37814-3863 -
Mutschler, Mark
13908 Se Stark St Ste C, Portland OR 97233-2161 -
Howard, Lisa Peter
306 Us Route 1 Ste D1, Scarborough ME 04074-7640