LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
NPI 1285504662
Dentist in Waldorf, MD

Active since November 10, 2025
4576 FAIRWAY VILLAGE PL STE 101, WALDORF, MD 20602(227) 220-4015 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifetime Dental Care Of Maryland, Badger, P.c. NPPES

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

LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. (NPI 1285504662), doing business as Fairway Village Dental Care, is a healthcare organization registered as a dentist in Waldorf, Maryland and active in the NPI registry since November 2025. The organization lists Cemyira Mcdougal, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1285504662
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Location Address4576 FAIRWAY VILLAGE PL STE 101Waldorf, MD 20602-5108
Mailing Address4576 Fairway Village Pl Ste 101Waldorf, MD 20602-5108
Organization SubpartYes
Authorized OfficialCemyira McdougalCredentialing Coordinator · (217) 764-8609
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
NPI 1285504662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4576 FAIRWAY VILLAGE PL STE 101, Waldorf, MD 20602

Other Names 1

Doing Business AsFairway Village Dental Care

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

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
4576 FAIRWAY VILLAGE PL STE 101
WALDORF, MD 20602
Dentist (General Practice)
4576 FAIRWAY VILLAGE PL STE 101
WALDORF, MD 20602

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 1285504662. It was assigned to this organization in the NPPES registry on November 10, 2025. The provider is doing business as Fairway Village Dental Care.

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

Lifetime Dental Care Of Maryland, Badger, P.C. is located at 4576 Fairway Village Pl Ste 101, Waldorf, MD 20602. The listed phone number is (227) 220-4015.

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

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Lifetime Dental Care Of Maryland, Badger, P.C. was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.