Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SOUTHERN MARYLAND ORTHODONTIC STUDIO LLC
NPI 1154253672
Dentist - Orthodontics and Dentofacial Orthopedics in Upper Marlboro, MD

Active since June 01, 2026
5020 BROWN STATION RD STE 130, UPPER MARLBORO, MD 20772(301) 327-1223 Get Directions Write a Review

NPPES record added: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Maryland Orthodontic Studio Llc NPPES

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

SOUTHERN MARYLAND ORTHODONTIC STUDIO LLC (NPI 1154253672) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Upper Marlboro, Maryland and active in the NPI registry since June 2026. The organization lists Brandon Hagan, Orthodontist, as its authorized official.

NPPES Registry Identity

NPI1154253672
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameSOUTHERN MARYLAND ORTHODONTIC STUDIO LLC
Location Address5020 BROWN STATION RD STE 130Upper Marlboro, MD 20772-9107
Mailing Address205 V St Nw Apt 301Washington, DC 20001-5779
Organization SubpartNo
Authorized OfficialBrandon HaganOrthodontist · (502) 821-7651
Enumeration DateJune 1, 2026
NPPES CertifiedMay 31, 2026
NPI 1154253672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
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.
5020 BROWN STATION RD STE 130, Upper Marlboro, MD 20772

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Southern Maryland Orthodontic Studio LLC's NPI number?

The NPI number for Southern Maryland Orthodontic Studio LLC is 1154253672. It was assigned to this organization in the NPPES registry on June 1, 2026.

Where is Southern Maryland Orthodontic Studio LLC located?

Southern Maryland Orthodontic Studio LLC is located at 5020 Brown Station Rd Ste 130, Upper Marlboro, MD 20772. The listed phone number is (301) 327-1223.

What is Southern Maryland Orthodontic Studio LLC'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 Southern Maryland Orthodontic Studio LLC was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.