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OLDE TOWN LAUREL DENTAL
NPI 1992899488
Dentist - General Practice in Laurel, MD

Active since October 02, 2006
535 MAIN STREET, SUITE 113, LAUREL, MD 20707(301) 490-0044(301) 497-1900 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2021, Aug 13, 2019, Dec 28, 2017 (3 updates tracked since 2017).

About Olde Town Laurel Dental NPPES

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

OLDE TOWN LAUREL DENTAL (NPI 1992899488) is a healthcare organization registered as a general practice in Laurel, Maryland and active in the NPI registry since October 2006. The organization lists Tabatha Lemke, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1992899488
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Location Address535 MAIN STREET, SUITE 113Laurel, MD 20707-4335
Mailing Address535 Main St Ste 113Laurel, MD 20707-4335 · (301) 490-0044
Phone(301) 490-0044
Fax(301) 497-1900
Organization SubpartYes
Authorized OfficialTabatha LemkeCredentialing Coordinator · (217) 540-6078
Enumeration DateOctober 2, 2006
Last NPPES UpdateJune 7, 20213 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1992899488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 10680
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.
535 MAIN STREET, Laurel, MD 20707
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Other Names 2

Doing Business AsOlde Town Laurel Dental
Former Legal Business NameDental Professionals Of Maryland, Gerald Awadzi, P.c.

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

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

DR. VINCENT A SCHEMBARI DDS
Dentist (General Practice)
535 MAIN STREET, SUITE 113
LAUREL, MD 20707
Prince George's County (301) 490-0044

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 1992899488. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Olde Town Laurel Dental. The provider was formerly known as Dental Professionals of Maryland, Gerald Awadzi, P.C..

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

Lifetime Dental Care Of Maryland, Badger, P.C. is located at 535 Main Street Suite 113, Laurel, MD 20707. The listed phone number is (301) 490-0044.

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 June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.