Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Champion Smiles of Maryland LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1396330049

Champion Smiles of Maryland LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in LA Plata, Maryland. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

113 La Grange Ave
LA Plata, MD 20646-9592
Phone: (301) 249-4123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10905 Fort Washington Rd Ste 302, Ft Washington, MD 20744-5812 — (301) 249-4123
  • 9616 Marlboro Pike, Upper Marlboro, MD 20772 — (301) 249-4123

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1396330049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amber Gibbs — Practice Manager · (301) 249-4123
NPI enumeratedMarch 4, 2021
Last updated in NPPESMarch 4, 2021
Certification dateFebruary 11, 2021
Mailing addressPo Box 2768, La Plata, MD 20646-2768

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