LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. (NPI# 1093140501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093140501 |
| Entity Type | Organization |
| Organization Name | LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. |
| Other Organization Name | GLEN BURNIE DENTAL CARE |
| Practice Address |
1200 Network Centre Drive Suite #2 Effingham IL 62401 |
| Practice Telephone | 2175408946 |
| Practice Fax Number | 2175408946 |
| Mailing Telephone | 2175408946 |
| Mailing Fax Number | 2175408946 |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | BRITTANY NICHELLE HOWARD (CREDENTIALING AFFILIATION COORDINAT) |
| Authorized Official Telephone | 2175408946 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Dental Professionals of Maryland, Gerald Awadzi, PC | Former Legal Business Name - Organization |
| Glen Burnie Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617321 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 151 Bishop Murphy Dr Ste A, Frostburg, MD 21532-1476 | 2020-10-19 |
| 1265959837 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 13919 Baltimore Ave, Laurel, MD 20707-5044 | 2017-08-24 |
| 1265971295 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 821 W Benfield Rd Ste 6, Severna Park, MD 21146-2220 | 2017-02-23 |
| 1659730380 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 6400 Ridge Rd # H, Sykesville, MD 21784-6248 | 2016-02-23 |
| 1144622739 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 703 Baltimore Pike, Bel Air, MD 21014-4209 | 2014-09-25 |
| 1881021855 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 480 Meadow Creek Dr, Ste B, Westminster, MD 21158-4445 | 2013-10-04 |
| 1972857589 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 7499 Greenbelt Rd, #22, Greenbelt, MD 20770-3402 | 2012-11-05 |
| 1295089001 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 15648 Old Columbia Pike, Burtonsville, MD 20866 | 2012-10-31 |
| 1356365910 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 11301 Rockville Pike, Kensington, MD 20895-1060 | 2006-07-27 |
| 1255828232 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 620 S Union Ave, Havre De Grace, MD 21078-3422 | 2018-04-16 |
| Street Address |
1200 NETWORK CENTRE DRIVE SUITE #2 |
| City | EFFINGHAM |
| State | IL |
| Zip Code | 62401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568021269 | Rhodes To Health, LLC | Chiropractor | 200 E. Fayette Ave, Effingham, IL 62401 | 2019-06-07 |
| 1467951699 | Sarah Bush Lincoln Health Center | Durable Medical Equipment & Medical Supplies | 903 N Maple St, Effingham, IL 62401 | 2018-02-02 |
| 1033632187 | Diel Counseling Inc. | Counselor | 444 S. Willow #7, Effingham, IL 62401 | 2017-07-20 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1194107102 | Radhika Annam | Internal Medicine | 500 N. Maple St., Joslin Diabetes Center Affiliate At Hshs Medical Group, Effingham, IL 62401 | 2015-06-25 |
| 1912334558 | Ruben Boyajian, Md | Surgery | 904 Medical Park Drive, Suite 2, Effingham, IL 62401 | 2013-09-27 |
| 1427483502 | Daniel E Czajkowski | Physical Therapist | 2611 S Banker St, Effingham, Il, Effingham, IL 62401 | 2013-09-09 |
| 1689926487 | Wellness Loft Inc. | Counselor | 408 South 4th St., Effingham, IL 62401 | 2012-10-04 |
| 1598011470 | Patricia R. Diel | Social Worker | 444 S. Willow, Suite 7, Effingham, IL 62401 | 2012-07-30 |
| 1952699894 | Jonathan Workman | Orthopaedic Surgery | 1303 W Evergreen Ave Ste 101, Effingham, IL 62401 | 2011-07-13 |
| Find all providers in zip 62401 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942730254 | Joseph D Balda | Dentist | 911 N Henrietta St, Effingham, IL 62401-1772 | 2017-06-19 |
| 1083845457 | Charles Allen Schumacher | Dentist | 602 Eden Drive, Effingham, IL 62401 | 2009-08-04 |
| 1659583656 | Lifetime Dental Care of Illinois, PC | Dentist | 700 N Keller, Effingham, IL 62401 | 2007-05-04 |
| 1114139011 | Dental Professionals of Illinois, P.C. | Dentist | 1379 N Outer Belt W, Effingham, IL 62401-3182 | 2007-05-04 |
| 1437378098 | Jeffrey R Stevenson | Dentist | 310 W Jefferson Ave, Effingham, IL 62401-2348 | 2007-04-24 |
| 1770605164 | Stephen Willenborg | Dentist | 610 N Keller Dr, Effingham, IL 62401-1814 | 2007-04-04 |
| 1508969700 | Gregory J Campos | Dentist | 508 W Jefferson Ave, Effingham, IL 62401-2337 | 2006-09-06 |
| 1790894392 | John T Kroeger | Dentist | 444 S Willow St Ste 6, Effingham, IL 62401-3764 | 2006-08-29 |
| 1609880491 | Charles Robert Horin | Dentist | 606 S 4th St, Effingham, IL 62401-3712 | 2006-07-28 |
| 1588100325 | Effingham Family Dental Ltd | Dentist | 310 W Jefferson Ave, Effingham, IL 62401-2348 | 2017-01-18 |
| Find all providers in EFFINGHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.