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


Address: 2191 Defense Hwy #210, Crofton, MD 21114
Phone: 4107212610

LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. (NPI# 1619032620) 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) 1619032620
Entity Type Organization
Organization Name LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Other Organization Name DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, PC
Practice Address 2191 Defense Hwy #210
Crofton
MD 21114
Mailing Address 1200 Network Centre Drive
Suite #2
Effingham
IL 62401
Practice Telephone 4107212610
Practice Fax Number 4107218053
Mailing Telephone 2175408946
Mailing Fax Number 2175408946
Enumeration Date 2006-12-27
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, P.C.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
Dental Professionals of Maryland, Gerald Awadzi, PC Former Legal Business 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
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
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

Office Location

Street Address 2191 DEFENSE HWY #210
City CROFTON
State MD
Zip Code 21114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740345743 Craig W Stout Dentist 2191 Defense Hwy #210, Crofton, MD 21114 2006-12-27
1639234636 Roy Kenneth Edelstein Dentist 2191 Defense Hwy #210, Crofton, MD 21114 2006-12-27
1245395250 Richard A Carlson Dentist 2191 Defense Hwy #210, Crofton, MD 21114 2006-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942857156 Betty J Wanjau Occupational Therapy Assistant 2131 Davidsoville Rd, Crofton, MD 21114 2019-08-22
1972067494 Brightview Crofton, LLC Alzheimer Center (Dementia Center) 1301 Clarity Drive, Crofton, MD 21114 2019-01-29
1225522147 Jodie Rich Pharmacist Shoppers, 1649 Crofton Center, Crofton, MD 21114 2018-06-15
1447769054 Danielle Ellen Barton Counselor 1627 Ardsley Place, Crofton, MD 21114 2017-09-26
1093250474 Holistic, Re-education, & Empowering Serices, LLC Community/Behavioral Health 2305 Fairhaven Lane, Crofton, MD 21114 2016-12-21
1326594201 Evette Shields Adult Companion 1617 Parkridge Circle #152, Crofton, MD 21114 2016-08-30
1861866832 Kathryn Bucher Occupational Therapist 2435 Bolton Lane, Crofton, MD 21114 2015-11-13
1730512062 James Martin Schwartz Dentist 1286 Route 3 North, Crofton, MD 21114 2013-08-09
1184923088 Jean Louise Dela Torre Speech-Language Pathologist 1672 Carlyle Dr. Apt. E, Crofton, MD 21114 2011-03-18
1295033488 Nancy Fox Royster Registered Nurse 1004 Broderick Court, Crofton, MD 21114 2011-03-11
Find all providers in zip 21114

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730512062 James Martin Schwartz Dentist 1286 Route 3 North, Crofton, MD 21114 2013-08-09
1356692024 Jacob Anthony Nix Dentist 1286 State Route 3 S Ste 7, Crofton, MD 21114-1340 2012-09-21
1194867085 Franklin F Frush Dentist 1667 Crofton Ctr Ste 7, Crofton, MD 21114 2007-02-14
1740345743 Craig W Stout Dentist 2191 Defense Hwy #210, Crofton, MD 21114 2006-12-27
1265518617 Jo Anne M Bernard Dentist 2411 Crofton Lane, Suite 6, Crofton, MD 21114 2006-10-28
1124081872 Ulery Dental and Orthodontics Dentist 1286 Maryland Rt 3 S, Crofton, MD 21114-1340 2006-04-11
1497716096 M. Reza Ghajarnia Dentist 1286 Maryland Rt 3 S Ste 7, Crofton, MD 21114-1340 2006-03-31
1154814960 Charles C Yun Dentist 2191 Defense Hwy Ste 210, Crofton, MD 21114-2942 2018-06-07
1801270996 Koosha Farnoosh Dentist 1286 State Route 3 S Ste 7, Crofton, MD 21114-1340 2015-07-17
1225452279 Gregory Puccio Dentist 1286 Maryland Rt 3 S Ste 7, Crofton, MD 21114-1340 2014-02-11
Find all providers in CROFTON

Competitor

Search similar providers

City CROFTON
Zip Code 21114

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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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