CHAMPION DENTISTRY, LLC
NPI 1053946525
Clinic/Center - Dental in Lebanon, TN

Q: What is Champion Dentistry, LLC's NPI number?

The NPI number for Champion Dentistry, LLC is 1053946525. It was assigned to this organization in the NPPES registry on March 5, 2020.

Q: What is Champion Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since March 05, 2020

322 N MAPLE ST, LEBANON, TN 37087(615) 606-2544(888) 752-1480 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Champion Dentistry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAMPION DENTISTRY, LLC (NPI 1053946525) is a healthcare organization registered as a dental in Lebanon, Tennessee and active in the NPI registry since March 2020. The organization lists Derrick Champion, Owner, as its authorized official.

NPPES Registry Identity

NPI1053946525

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameCHAMPION DENTISTRY, LLC

Location Address322 N MAPLE STLebanon, TN 37087-2706

Mailing Address322 N Maple StLebanon, TN 37087-2706 · (615) 606-2544 · Fax (888) 752-1480

Phone(615) 606-2544

Fax(888) 752-1480

Organization SubpartNo

Authorized OfficialDerrick ChampionOwner · (615) 554-7401

Enumeration DateMarch 5, 2020

NPPES CertifiedMarch 5, 2020

✔ NPI 1053946525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

322 N MAPLE ST, Lebanon, TN 37087

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest Insurance Company Inc- TN.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID WAYNE LUCK MD

Family Medicine

322 N MAPLE ST
LEBANON, TN 37087

Wilson County (615) 449-3101

LEBANON DENTAL GROUP

Dentist (General Practice)

322 N MAPLE ST
LEBANON, TN 37087

Wilson County (615) 554-7401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Champion Dentistry, LLC's NPI number?

The NPI number for Champion Dentistry, LLC is 1053946525. It was assigned to this organization in the NPPES registry on March 5, 2020.

Where is Champion Dentistry, LLC located?

Champion Dentistry, LLC is located at 322 N Maple St, Lebanon, TN 37087. The listed phone number is (615) 606-2544.

What is Champion Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Champion Dentistry, LLC accept?

Health plans from DentaQuest Insurance Company Inc- TN list Champion Dentistry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Champion Dentistry, LLC was last updated on March 5, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.