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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAXINE V. CLARK, D.D.S., P.A.

Active Organization

MAXINE V. CLARK, D.D.S., P.A. is a Dental Clinic organization located in ELLICOTT CITY, Maryland. NPI 1083758460 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · ELLICOTT CITY, MD

Registration Details

NPI Number
1083758460
Provider Type
Organization
NPI Issued
Feb 17, 2007 (19.341211051237 yrs)
Last Updated
Aug 22, 2020
License
8300 (MD)

Practice Information

Address
5094 DORSEY HALL DR
SUITE 204
ELLICOTT CITY, MD, 210427820
Browse MD providers · Browse ZIP 21042
Phone
4109927911
Fax
4109920250
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in ELLICOTT CITY, MD

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.