Champion Smiles Of Maryland Llc
Orthodontics and Dentofacial Clinic
113 La Grange Ave, La Plata
Maryland, 20646-9592
301-249-4123 Maps & DirectionsChampion Smiles Of Maryland Llc is a Orthodontics and Dentofacial Clinic in La Plata, Maryland. It is located at 113 La Grange Ave, La Plata, MD and its contact number is 301-249-4123. The authorized person for Champion Smiles Of Maryland Llc is Amber Gibbs
who is Practice Manager of the clinic and their contact number is 301-249-4123.
Champion Smiles Of Maryland Llc Clinic is 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.
Complete Clinic Profile:
Champion Smiles Of Maryland Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Champion Smiles Of Maryland Llc |
| Specialization: | Orthodontics and Dentofacial Orthopedics |
| Clinic Address: | 113 La Grange Ave, La Plata,
Maryland, 20646-9592 |
| Phone: | 301-249-4123 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Amber Gibbs |
| Position: | Practice Manager |
| Contact Number: | 301-249-4123 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Champion Smiles Of Maryland Llc clinic are as mentioned below.
| NPI Number: | 1396330049 |
| NPI Enumeration Date: | 04 Mar, 2021 |
| NPI Last Update On: | 04 Mar, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Champion Smiles Of Maryland Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Orthodontics and Dentofacial Orthopedics | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 054215600 | Medicaid | Maryland | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Champion Smiles Of Maryland Llc
Po Box 2768,
La Plata, Maryland |
| Zip: | 20646-2768 |
| Phone Number: | 301-249-4123 |
Patients can reach Champion Smiles Of Maryland Llc at
113 La Grange Ave, La Plata, Maryland or can
call to book an appointment on 301-249-4123.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.