LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.


Address: 13919 Baltimore Ave, Laurel, MD 20707-5044
Phone: (301) 498-6511

LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. (NPI# 1265959837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265959837
Entity Type Organization
Organization Name LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Other Organization Name DENTAL PROFFESIONALS OF MARYLAND, GERALD AMADZI P.C.
Practice Address 13919 Baltimore Ave
Laurel
MD 20707-5044
Mailing Address 1200 Network Center Dr
Suite 2
Effingham
IL 62401
Practice Telephone (301) 498-6511
Mailing Telephone 2175408946
Mailing Fax Number 2175408946
Enumeration Date 2017-08-24
Last Update Date 2019-09-09
Authorized Official Name TABATHA FORREST LEMKE (CREDENTIALING COORDINATOR)
Authorized Official Telephone 2175408946
Is Organization Subpart Y
Parent Organization Name DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, P.C.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Dental Proffesionals of Maryland, Gerald Amadzi P.C. Other Name - Individual/Organization
Laurel Lakes Cosmetic Dentistry Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1093140501 Lifetime Dental Care of Maryland, Badger, P.C. Dentist 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 2013-09-04
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

Office Location

Street Address 13919 BALTIMORE AVE
City LAUREL
State MD
Zip Code 20707-5044

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376157156 Mini'imah Wilson Social Worker 15041 Cherrywood Dr, Laurel, MD 20707 2020-08-31
1548893985 Ernest Freeman Clinic/Center 367 Main St., Laurel, Laurel, MD 20707 2020-02-13
1538701859 Family Health and Wellness Clinic LLC Clinic/Center 324 Main St. #523, Laurel, MD 20707 2019-10-09
1467018226 Leena Daniel Nurse Practitioner 13 C Street, Suite D, Laurel, MD 20707 2019-05-16
1538723143 Florence Okojie Nurse Practitioner 13 C St Ste G, Laurel, MD 20707 2019-04-29
1487148631 Munsha Sidhu Chadha Dentist 595 Main St Ste 237, Laurel, MD 20707 2018-06-20
1568953370 Carleen Graham Schwimmer Clinical Neuropsychologist Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 2018-05-29
1043709637 Bk Behavioral Health Center Behavior Technician 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 2018-05-09
1053800839 Bk Behaviorial Health Center Substance Abuse Rehabilitation Facility 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 2018-05-07
1316435795 Laurel Pharmacy II LLC Pharmacy 14402 Baltimore Ave, Laurel, MD 20707 2018-05-01
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942769468 Vaibhav Rai Dds LLC Dentist 7350 Van Dusen Rd Ste 440, Laurel, MD 20707-5265 2019-03-14
1487148631 Munsha Sidhu Chadha Dentist 595 Main St Ste 237, Laurel, MD 20707 2018-06-20
1104319029 Charming Smiles Family Dentistry Dentist 14333 Laurel Bowie Rd Ste 307, Laurel, MD 20708-1183 2018-06-14
1245602168 Robert F. Gradishar Dds Pa Dentist 11200 Scaggsville Rd Ste 119, Laurel, MD 20723-2024 2015-10-30
1891167193 Laurel Pines Dental 100 LLC Dentist 14333 Laurel Bowie Rd Ste 100, Laurel, MD 20708-1149 2015-10-26
1447695127 Jeffrey Bartoshesky Dentist 10250 Stone Creek Dr Unit 1, Laurel, DE 19956-4707 2013-05-08
1508111907 Halima R Karim Dentist 8383 Cherry Ln, Laurel, MD 20707-4832 2012-07-21
1154631075 Dental Professionals of Maryland, Gerald Awadzi, PC Dentist 7500 Montpelier Rd Ste 108, Laurel, MD 20723-6012 2010-10-13
1750522181 Sung Joo Kim Dentist 7302 Waterloo Walk, Laurel, MD 20707-6914 2009-03-15
1124274394 Robert Stephen Ellis Dentist 1434 - Parker Drive, Laurel, MS 39440-1942 2008-08-07
Find all providers in LAUREL

Competitor

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City LAUREL
Zip Code 20707

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Dataset Information

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.

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