Organization · Type 2 NPI

Champion Smiles of Maryland LLC

Orthodontics and Dentofacial Orthopedics Dentistry · La Plata, MD

NPI number 1396330049 Active

Practice location

113 La Grange Ave
La Plata, MD 20646-9592

Mailing address

PO Box 2768
La Plata, MD 20646-2768

Other practice locations

  • 10905 Fort Washington Rd Ste 302, Fort Washington, MD 20744-5812 · (301) 249-4123
  • 9616 Marlboro Pike, Upper Marlboro, MD 20772 · (301) 249-4123

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

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…

3 other providers at this address

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About NPI 1396330049

Champion Smiles of Maryland LLC's National Provider Identifier is 1396330049, issued on Mar 4, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in La Plata, MD. The record was last updated on Mar 4, 2021.