DR. RONALD LYNN CHAMPION D.D.S.
NPI 1104044312
Dentist - Orthodontics and Dentofacial Orthopedics in Modesto, CA

Active since April 23, 2007
4101 TULLY RD STE 401, MODESTO, CA 95356(209) 575-5888(209) 575-5898 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ronald Lynn Champion D.d.s. NPPES

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

DR. RONALD LYNN CHAMPION D.D.S. (NPI 1104044312) is an individual orthodontics and dentofacial orthopedics provider in Modesto, California, licensed in California (23489) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1104044312
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. RONALD LYNN CHAMPIONCredential: D.D.S.
Location Address4101 TULLY RD STE 401Modesto, CA 95356-8982
Mailing Address4101 Tully Rd Ste 401Modesto, CA 95356-8982 · (209) 575-5888 · Fax (209) 575-5898
Fax(209) 575-5898
Sole ProprietorYes
Enumeration DateApril 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104044312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in CA · 23489
Definition
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 functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
4101 TULLY RD STE 401, Modesto, CA 95356

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.

Dentist (Orthodontics and Dentofacial Orthopedics)
4101 TULLY RD STE 401
MODESTO, CA 95356
Dentist (Orthodontics and Dentofacial Orthopedics)
4101 TULLY RD STE 401
MODESTO, CA 95356

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 Ronald Champion's NPI number?

The NPI number for Ronald Champion is 1104044312. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Ronald Champion located?

Ronald Champion practices at 4101 Tully Rd Ste 401, Modesto, CA 95356. The listed phone number is (209) 575-5888.

What is Ronald Champion's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Ronald Champion was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.