Maryland Orthodontic Specialists

LBN: Maxine V. Clark, D.D.S., P.A.
Maryland Orthodontic Specialists is an health care organization with primary practice located at 5094 Dorsey Hall Dr Suite 204, Ellicott City MD 21042-7820. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Maxine V. Clark, D.D.S., P.A. can be contacted via phone (410) 992-7911, or through Clark, Maxine Villiers via phone (410) 992-7911.

Contact Information

Primary practice address
5094 Dorsey Hall Dr Suite 204 Ellicott City MD 21042-7820
Phone: (410) 992-7911
Fax: (410) 992-0250
Website:
Map and Directions
Authorized official contact:
Name: Clark, Maxine Villiers Doctor of Dental Surgery (DDS)
Phone: (410) 992-7911

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 8300 Maryland

Profile Details

NPI number 1083758460
LBN Legal business name Maxine V. Clark, D.D.S., P.A.
DBA Doing business as Maryland Orthodontic Specialists
Authorized official Clark, Maxine Villiers Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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