Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Andrew Edward Clark, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1992017164

Dr. Andrew Edward Clark, DMD is a Student in an Organized Health Care Education/Training Program in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5555 Roanoke Trl
Tallahassee, FL 32312
Phone: (850) 385-2822
Fax: (850) 385-9476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DN 19032 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence DN 19032 (FL)

Record details

NPI number1992017164
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 5, 2010
Last updated in NPPESApril 24, 2025
Mailing address5555 Roanoke Trail, Tallahassee, FL 32312

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