LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. (NPI# 1295089001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295089001 |
| Entity Type | Organization |
| Organization Name | LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. |
| Other Organization Name | BURTINSVILLE DENTAL CARE |
| Practice Address |
15648 Old Columbia Pike Burtonsville MD 20866 |
| Mailing Address |
1200 Network Centre Drive Suite #2 Effingham IL 62401 |
| Practice Telephone | 2403895003 |
| Mailing Telephone | 2175408946 |
| Mailing Fax Number | 2175408946 |
| Enumeration Date | 2012-10-31 |
| 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 |
|---|---|
| Burtinsville Dental Care | Doing Business As Name - Organization |
| Dental Professionals of Maryland, Gerald Awadzi, PC | Former Legal Business 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 |
| 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 |
| 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 |
15648 OLD COLUMBIA PIKE |
| City | BURTONSVILLE |
| State | MD |
| Zip Code | 20866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831541614 | Harisha Tirukkovalluru | Dentist | 15648 Old Columbia Pike, Burtonsville, MD 20866-1630 | 2016-07-06 |
| 1710303425 | Anuja Patel | Dentist | 15648 Old Columbia Pike, Burtonsville, MD 20866-1630 | 2014-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194356717 | Kristin Sagun | Psychologist | 3901 National Drive, Suite #100, Burtonsville, MD 20866 | 2020-02-02 |
| 1093299208 | Jennifer L Wood | Doula | 4301 Ambrose Ct, Burtonsville, MD 20866 | 2018-09-24 |
| 1770092363 | Carolina Mattos | Behavior Technician | 4402 Meanderwood Dr, Burtonsville, MD 20866 | 2017-09-26 |
| 1942728233 | Peggy Sue Bruce | Behavior Technician | 4401 Bender Court, Burtonsville, MD 20866 | 2017-09-06 |
| 1376919902 | Ovetta Lorraine Harris | Speech-Language Pathologist | 14705 Perrywood Drive, Burtonsville, MD 20866 | 2015-08-18 |
| 1639552540 | Theresia Ajenanyi Atechong | Home Health Aide | 13518 Greencastle Ridge Ter Apt 402, Burtonsville, MD 20866 | 2015-07-09 |
| 1720405111 | Benedict Obi | Registered Nurse | 4301 Sgar Pine Ct, Burtonsville, MD 20866 | 2014-03-24 |
| 1023430337 | Etienne Dimbeck | Home Health Aide | 3671 Autumn Glenn Circle, Boturnsville, MD 20866 | 2014-01-07 |
| 1538412515 | Dorothy Kembong Taylor | Home Health Aide | 43 Scarlet Sage Court, Burtonsville, MD 20866 | 2012-10-16 |
| 1265797609 | Jack S Djikiage | Home Health Aide | 3611 Autumn Glen Circle, Burtonsville, MD 20866 | 2012-07-11 |
| Find all providers in zip 20866 | ||||
| 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 |
|---|---|---|---|---|
| 1942795562 | Nicholas Boyd | Dentist | 3905 National Dr Ste 170, Burtonsville, MD 20866-6102 | 2018-06-26 |
| 1235581778 | Austin David Drewyer | Dentist | 4009 Sandy Spring Rd Ste 201, Burtonsville, MD 20866-1122 | 2016-07-08 |
| 1366704868 | Michael R. Beers, D.d.s., P.C. | Dentist | 15320 Spencerville Ct, Suite 101, Burtonsville, MD 20866-1668 | 2012-06-11 |
| 1679623136 | Mon Fong Sheik | Dentist | 15324 Spencerville Ct, #101, Burtonsville, MD 20866-1669 | 2007-01-10 |
| 1093800690 | Douglas G Drewyer | Dentist | 4009 Sandy Spring Road, Suite 201, Burtonsville, MD 20866 | 2006-10-03 |
| 1205945581 | Michael Raymond Beers | Dentist | 15320 Spencerville Ct Ste 101, Burtonsville, MD 20866-1642 | 2006-08-30 |
| 1710303425 | Anuja Patel | Dentist | 15648 Old Columbia Pike, Burtonsville, MD 20866-1630 | 2014-03-06 |
| 1720298920 | Aaron Andrew Nicholas | Dentist | 3905 National Dr, Suite 170, Burtonsville, MD 20866-1100 | 2007-05-23 |
| 1154365427 | Roberta J. Dosh | Dentist | 3905 National Dr, Suite 340, Burtonsville, MD 20866-1100 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061166 | Frederick Center for Dentistry, LLC | Dentist | 140 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4485 | 2020-10-23 |
| 1023617321 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 151 Bishop Murphy Dr Ste A, Frostburg, MD 21532-1476 | 2020-10-19 |
| 1427656248 | Kopit Dental Care, Pa | Dentist | 3420 Worthington Blvd Ste A, Frederick, MD 21704-7020 | 2020-10-14 |
| 1588261085 | Rejuvenation Dental LLC | Dentist | 85 High St Ste 6, Waldorf, MD 20602-2150 | 2020-10-07 |
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1992302731 | Brandy L Carullo | Dentist | 8503 Greenbelt Rd Ste T4, Greenbelt, MD 20770-2303 | 2020-10-05 |
| 1871109850 | James Bantz Wooddell Jr. | Dentist | 600 Ridgely Ave Ste 225, Annapolis, MD 21401-1089 | 2020-09-16 |
| 1003421330 | Aspen Hill Implant & Family Dentistry, P.c | Dentist | 1401 Mercantile Ln # 583, Upper Marlboro, MD 20774-4301 | 2020-09-14 |
| 1457965238 | Shalom Dental | Dentist | 5801 Allentown Rd Ste 307, Camp Springs, MD 20746-4582 | 2020-08-31 |
| 1598377921 | John Francis Battinelli | Dentist | 325 Gambrills Rd Ste C, Gambrills, MD 21054-1102 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
| City | BURTONSVILLE |
| Zip Code | 20866 |
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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.