VANGUARD ORTHODONTICS LLC
NPI 1629583943
Clinic/Center - Dental in Fulton, MD

Active since December 08, 2017
8191 MAPLE LAWN BLVD STE E, FULTON, MD 20759(410) 381-1077 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2018, Dec 8, 2017 (2 updates tracked since 2017).

About Vanguard Orthodontics Llc NPPES

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

VANGUARD ORTHODONTICS LLC (NPI 1629583943) is a healthcare organization registered as a dental in Fulton, Maryland and active in the NPI registry since December 2017. The organization maintains a secondary practice location in Clarksville and lists David Byron Bonebreak, Owner, as its authorized official.

NPPES Registry Identity

NPI1629583943
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameVANGUARD ORTHODONTICS LLC
Location Address8191 MAPLE LAWN BLVD STE EFulton, MD 20759-2535
Mailing Address12240 Pleasant Springs CtFulton, MD 20759-9647 · (443) 956-5814
Organization SubpartNo
Authorized OfficialDavid Byron BonebreakOwner · (410) 381-1077
Enumeration DateDecember 8, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1629583943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses Licensed in MD · 14232 Licensed in MD · 6368
8191 MAPLE LAWN BLVD STE E, Fulton, MD 20759

Secondary Practice Location 1

Location 112230 Clarksville Pike, Suite MClarksville, MD 21029 · Phone (410) 381-1077

Other Providers at the Same Location NPPES

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

Dentist (Orthodontics and Dentofacial Orthopedics)
8191 MAPLE LAWN BLVD STE E
FULTON, MD 20759

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 Vanguard Orthodontics LLC's NPI number?

The NPI number for Vanguard Orthodontics LLC is 1629583943. It was assigned to this organization in the NPPES registry on December 8, 2017.

Where is Vanguard Orthodontics LLC located?

Vanguard Orthodontics LLC is located at 8191 Maple Lawn Blvd Ste E, Fulton, MD 20759. The listed phone number is (410) 381-1077.

What is Vanguard Orthodontics LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Vanguard Orthodontics LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.