Dr. Darrell Adrian Clark D.D.S.
Dr. Darrell Adrian Clark D.D.S. is a healthcare organization registered as Orthodontics and Dentofacial Orthopedics Dentistry in Waldorf, MD, holding Type 2 (organization) NPI 1568681682 since 2007. The authorized official on file is Darrell Clark, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1568681682 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dr. Darrell Adrian Clark D.D.S. |
| Practice address | 12070 OLD LINE CTR, Waldorf, MD, 20602 |
| Phone | 3016380282 |
| Enumeration date | 2007-04-25 |
| Last updated in NPPES | 2011-07-12 |
Authorized official
| Name | Darrell Clark |
|---|---|
| Title | President |
| Phone | 3015120132 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | Primary | 8308 | MD |
Copy-ready billing details
Provider: Dr. Darrell Adrian Clark D.D.S. NPI: 1568681682 Taxonomy: 1223X0400X (Orthodontics and Dentofacial Orthopedics Dentistry) Address: 12070 OLD LINE CTR, Waldorf, MD, 20602
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1942206412 | Douglas Avery & Associates Ltd | Organization | Physical Therapy Clinic/Center | Waldorf, MD |
| 1245237684 | Jennifer Knode | Individual | Medical Physician Assistant | Waldorf, MD |
| 1780681668 | Mariesa Kinch | Individual | Nurse Practitioner | Waldorf, MD |
| 1174521173 | Joseph Murphy | Individual | Gastroenterology Physician | Waldorf, MD |
| 1689673741 | Lornette Mills | Individual | Gastroenterology Physician | Waldorf, MD |
| 1497754550 | Khadar Baig | Individual | Gastroenterology Physician | Waldorf, MD |
| 1114926284 | Seetaramayya Nagula | Individual | Gastroenterology Physician | Waldorf, MD |
| 1497747349 | Michael Leatherwood | Individual | Internal Medicine Physician | Waldorf, MD |
Verify this record
Cross-check NPI 1568681682 against the authoritative CMS record: view Dr. Darrell Adrian Clark D.D.S. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Dr. Darrell Adrian Clark D.D.S.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-07-12.