LIFETIME DENTAL CARE OF MARYLAND BADGER, P.C. - NPI 1902339062

Q: 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.

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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 1902339062), doing business as Dental Professionals Of Maryland, Gerald Awadzi, Pc, is a healthcare organization registered as a general practice in Frederick, Maryland and active in the NPI registry since April 2017. The organization lists Brittany Nichelle Howard, Credentialing Affiliation Coordinat, as its authorized official.

NPPES Registry Identity

NPI1902339062

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLIFETIME DENTAL CARE OF MARYLAND BADGER, P.C.

Location Address4959 WESTVIEW DR, SUITE FFrederick, MD 21703-7369

Mailing Address1200 Network Centre Drive, Suite #2Effingham, IL 62401 · (217) 540-8946 · Fax (217) 540-8946

Phone(301) 363-1211

Organization SubpartYesParent: Dental Professionals Of Maryland, Gerald Awadzi, Pc

Authorized OfficialBrittany Nichelle HowardCredentialing Affiliation Coordinat · (217) 590-8946

Enumeration DateApril 6, 2017

Last NPPES UpdateAugust 13, 2019

✔ NPI 1902339062 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.

4959 WESTVIEW DR, Frederick, MD 21703

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Other Names 1

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 1902339062. It was assigned to this organization in the NPPES registry on April 6, 2017.

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

Lifetime Dental Care Of Maryland Badger, P.C. is located at 4959 Westview Dr Suite F, Frederick, MD 21703. The listed phone number is (301) 363-1211.

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.