Provider Demographics
NPI:1972040038
Name:GROWING SMILES ORTHODONTICS
Entity Type:Organization
Organization Name:GROWING SMILES ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSPEH
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPONZINA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,PA
Authorized Official - Phone:410-697-9000
Mailing Address - Street 1:11570 CROSSROADS CIR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2861
Mailing Address - Country:US
Mailing Address - Phone:410-697-9000
Mailing Address - Fax:410-697-9040
Practice Address - Street 1:11570 CROSSROADS CIR
Practice Address - Street 2:SUITE 116
Practice Address - City:MIDDLE RIVER
Practice Address - State:MD
Practice Address - Zip Code:21220-2861
Practice Address - Country:US
Practice Address - Phone:410-697-9000
Practice Address - Fax:410-697-9040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD116721223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty