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

Dr. Dorrance D Clark, DDS, MSD

Individual provider Periodontics · NPI 1104907617

Dr. Dorrance D Clark, DDS, MSD is a Periodontics in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

2425 E 12 Mile Rd
Warren, MI 48092-5667
Phone: (586) 519-5977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 2901018485 (MI)

Record details

NPI number1104907617
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MSD
Sole proprietorNo
NPI enumeratedOctober 18, 2006
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

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