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GLEN BURNIE DENTAL CARE
NPI 1093140501
Dentist - General Practice in Effingham, IL

Active since September 04, 2013
1200 NETWORK CENTRE DRIVE, SUITE #2, EFFINGHAM, IL 62401(217) 540-8946(217) 540-8946 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Glen Burnie Dental Care NPPES

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

GLEN BURNIE DENTAL CARE (NPI 1093140501) is a healthcare organization registered as a general practice in Effingham, Illinois and active in the NPI registry since September 2013. The organization lists Brittany Nichelle Howard, Credentialing Affiliation Coordinat, as its authorized official.

NPPES Registry Identity

NPI1093140501
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Location Address1200 NETWORK CENTRE DRIVE, SUITE #2Effingham, IL 62401
Mailing Address1200 Network Centre Drive, Suite #2Effingham, IL 62401 · (217) 540-8946 · Fax (217) 540-8946
Phone(217) 540-8946
Fax(217) 540-8946
Organization SubpartYesParent: Dental Professionals Of Maryland, Gerald Awadzi, Pc
Authorized OfficialBrittany Nichelle HowardCredentialing Affiliation Coordinat · (217) 540-8946
Enumeration DateSeptember 4, 2013
Last NPPES UpdateAugust 13, 2019
✔ NPI 1093140501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1200 NETWORK CENTRE DRIVE, Effingham, IL 62401
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Other Names 2

Doing Business AsGlen Burnie Dental Care
Former Legal Business NameDental Professionals Of Maryland, Gerald Awadzi, Pc

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

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 Lifetime Dental Care Of Maryland, Badger, P.C.'s NPI number?

The NPI number for Lifetime Dental Care Of Maryland, Badger, P.C. is 1093140501. It was assigned to this organization in the NPPES registry on September 4, 2013. The provider is doing business as Glen Burnie Dental Care. The provider was formerly known as Dental Professionals of Maryland, Gerald Awadzi, PC.

Where is Lifetime Dental Care Of Maryland, Badger, P.C. located?

Lifetime Dental Care Of Maryland, Badger, P.C. is located at 1200 Network Centre Drive Suite #2, Effingham, IL 62401. The listed phone number is (217) 540-8946.

What is Lifetime Dental Care Of Maryland, Badger, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Lifetime Dental Care Of Maryland, Badger, P.C. was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.