Dr Maxine Villiers Clark, DDS - Dentist in Ellicott City, MD

Dr Maxine Villiers Clark, DDS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Ellicott City, Maryland. Dr Maxine Villiers Clark is licensed to practice in Maryland (license number 8300) and her current practice location is 5094 Dorsey Hall Dr, Suite 204, Ellicott City, Maryland. She can be reached at her office (for appointments etc.) via phone at (410) 992-7911.

NPI number for Dr Maxine Villiers Clark is 1386865137 and her current mailing address is 5094 Dorsey Hall Dr, Suite 204, Ellicott City, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386865137.

Contact Information

Dr Maxine Villiers Clark, DDS
5094 Dorsey Hall Dr, Suite 204,
Ellicott City, MD 21042
(410) 992-7911
(410) 992-0250

Map and Direction




Healthcare Provider's Profile

Full NameDr Maxine Villiers Clark
GenderFemale
SpecialityDentist - Orthodontics And Dentofacial Orthopedics
Location5094 Dorsey Hall Dr, Ellicott City, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386865137
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Maxine Villiers Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386865137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223X0400XDentist - Orthodontics And Dentofacial Orthopedics 8300 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Maxine Villiers Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Maxine Villiers Clark, DDS
5094 Dorsey Hall Dr, Suite 204,
Ellicott City, MD 21042

Ph: (410) 992-7911
Dr Maxine Villiers Clark, DDS
5094 Dorsey Hall Dr, Suite 204,
Ellicott City, MD 21042

Ph: (410) 992-7911

Reviews and Comments


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