Individual provider · Type 1 NPI

Ronald Lynn Champion, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Modesto, CA

NPI number 1104044312 Active

Practice location

4101 Tully Rd Ste 401
Modesto, CA 95356-8982

Fax (209) 575-5898

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	23489 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1104044312

Ronald Lynn Champion, DDS's National Provider Identifier is 1104044312, issued on Apr 23, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.