Maxine V. Clark, D.D.S., P.A.
NPI 1083758460 · Dental Clinic/Center · Ellicott City, MD
Maxine V. Clark, D.D.S., P.A. is a Dental Clinic/Center organization in Ellicott City, MD (NPI 1083758460).
Provider details
- NPI number
- 1083758460
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maxine Clark, Ceo(410) 992-7911
- License
- 8300 (MD)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Maryland Orthodontic Specialists
Registry dates
- Enumerated
- 2007-02-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Maxine V. Clark, D.D.S., P.A.'s NPI number?
- Maxine V. Clark, D.D.S., P.A.'s National Provider Identifier (NPI) is 1083758460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maxine V. Clark, D.D.S., P.A.?
- Maxine V. Clark, D.D.S., P.A. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Maxine V. Clark, D.D.S., P.A. located?
- Maxine V. Clark, D.D.S., P.A.'s practice location on file with NPPES is 5094 Dorsey Hall Dr, Ellicott City, MD 21042-7820.
- What is Maxine V. Clark, D.D.S., P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Maxine V. Clark, D.D.S., P.A. is (410) 992-7911.
- Who is the authorized official for Maxine V. Clark, D.D.S., P.A.?
- The authorized official listed on Maxine V. Clark, D.D.S., P.A.'s NPPES record is Maxine Clark, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maxine V. Clark, D.D.S., P.A.'s NPI active?
- Yes — Maxine V. Clark, D.D.S., P.A.'s NPI (1083758460) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.