CHAMPION SMILES OF MARYLAND LLC
NPI 1396330049
Dentist - Orthodontics and Dentofacial Orthopedics in La Plata, MD

Active since March 04, 2021
113 LA GRANGE AVE, LA PLATA, MD 20646(301) 249-4123 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Champion Smiles Of Maryland Llc NPPES

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

CHAMPION SMILES OF MARYLAND LLC (NPI 1396330049) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in La Plata, Maryland and active in the NPI registry since March 2021. The organization maintains 2 additional practice locations and lists Amber Gibbs, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1396330049
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameCHAMPION SMILES OF MARYLAND LLC
Location Address113 LA GRANGE AVELa Plata, MD 20646-9592
Mailing AddressPo Box 2768La Plata, MD 20646-2768 · (301) 249-4123
Organization SubpartNo
Authorized OfficialAmber GibbsPractice Manager · (301) 249-4123
Enumeration DateMarch 4, 2021
NPPES CertifiedFebruary 11, 2021
NPI 1396330049 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.
113 LA GRANGE AVE, La Plata, MD 20646

Secondary Practice Locations 2

Location 19616 Marlboro PikeUpper Marlboro, MD 20772 · Phone (301) 249-4123
Location 210905 Fort Washington Rd Ste 302Ft Washington, MD 20744-5812 · Phone (301) 249-4123

Other Identifiers 1

Medicaid054215600MD

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

Other Providers at the Same Location NPPES 3

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

Dentist (Orthodontics and Dentofacial Orthopedics)
113 LA GRANGE AVE
LA PLATA, MD 20646
Clinic/Center (Dental)
113 LA GRANGE AVE
LA PLATA, MD 20646
Clinic/Center (Dental)
113 LA GRANGE AVE
LA PLATA, MD 20646

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 Smiles Of Maryland LLC's NPI number?

The NPI number for Champion Smiles Of Maryland LLC is 1396330049. It was assigned to this organization in the NPPES registry on March 4, 2021.

Where is Champion Smiles Of Maryland LLC located?

Champion Smiles Of Maryland LLC is located at 113 La Grange Ave, La Plata, MD 20646. The listed phone number is (301) 249-4123.

What is Champion Smiles Of Maryland 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 Champion Smiles Of Maryland LLC was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.