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LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
NPI 1669893475
Dentist - General Practice in Leonardtown, MD

Active since December 20, 2013
23140 MOAKLEY ST, SUITE 5, LEONARDTOWN, MD 20650(301) 475-2881 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 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 1669893475), doing business as Dental Professionals Of Maryland, Gerald Awadzi, Pc, is a healthcare organization registered as a general practice in Leonardtown, Maryland and active in the NPI registry since December 2013. The organization lists Brittany Nichelle Howard, Credentialing Affiliation Coordinat, as its authorized official.

NPPES Registry Identity

NPI1669893475
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Location Address23140 MOAKLEY ST, SUITE 5Leonardtown, MD 20650-2930
Mailing Address1200 Network Centre Drive, Suite #2Effingham, IL 62401 · (217) 540-8946 · Fax (217) 540-8946
Phone(301) 475-2881
Organization SubpartYesParent: Dental Professionals Of Maryland, Gerald Awadzi, P.c.
Authorized OfficialBrittany Nichelle HowardCredentialing Affiliation Coordinat · (217) 540-8946
Enumeration DateDecember 20, 2013
Last NPPES UpdateAugust 13, 2019
✔ NPI 1669893475 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.
23140 MOAKLEY ST, Leonardtown, MD 20650
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Other Names 2

Former Legal Business NameDental Professionals Of Maryland, Gerald Awadzi, Pc
Doing Business AsBreton Bay Dentistry

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 11

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

GABRIELLE LARREA RAMELLINI DMD
Dentist (General Practice)
23140 MOAKLEY ST, STE 5
LEONARDTOWN, MD 20650
St. Mary's County (301) 475-2881
JOSEPH ANTHONY RAMELLINI DMD
Dentist (General Practice)
23140 MOAKLEY ST, SUITE # 5
LEONARDTOWN, MD 20650
St. Mary's County (301) 475-2881
JOYCE W NEAL MD PC
Specialist
23140 MOAKLEY ST, SUITE 1
LEONARDTOWN, MD 20650
St. Mary's County (301) 475-0145
MARK STEVEN HOCHMAN DDS
Dentist
23140 MOAKLEY ST, SUITE # 5
LEONARDTOWN, MD 20650
St. Mary's County (301) 475-2881
JOYCE W NEAL MD PC
Specialist
23140 MOAKLEY ST, SUITE #1
LEONARDTOWN, MD 20650
St. Mary's County (301) 475-0145
DR. JENNIFER MERRY SCHMIDT D.O.
Family Medicine
23140 MOAKLEY ST, SUITE 2
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-0611
DR. ANTOINE DOUMIT D.M.D. CAGS
Dentist (Orthodontics and Dentofacial Orthopedics)
23140 MOAKLEY ST, SUITE 3
LEONARDTOWN, MD 20650
St. Mary's County (301) 997-0666
MEDSTAR MEDICAL GROUP II LLC
General Practice
23140 MOAKLEY ST
LEONARDTOWN, MD 20650
St. Mary's County (240) 443-3475

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 1669893475. It was assigned to this organization in the NPPES registry on December 20, 2013. The provider is doing business as Breton Bay Dentistry. 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 23140 Moakley St Suite 5, Leonardtown, MD 20650. The listed phone number is (301) 475-2881.

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 with the weekly NPPES data releases published by CMS.