Organization · Type 2 NPI

Lifetime Dental Care of Maryland, Badger, P.c.

General Practice Dentistry · Effingham, IL

NPI number 1093140501 Active

Practice location

1200 Network Centre Drive, Suite #2
Effingham, IL 62401

Fax (217) 540-8946

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: 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.

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NPI record

NPI: 1093140501
Entity type: Organization (Type 2)
Issued: Sep 4, 2013
Last updated: Aug 13, 2019
Status: Active
Subpart: Yes of Dental Professionals of Maryland, Gerald Awadzi, PC

Other names

<unavail>
Glen Burnie Dental Care · doing business as
Glen Burnie Dental Care · doing business as
Dental Professionals of Maryland, Gerald Awadzi, PC · former legal business name

Authorized official

Brittany Nichelle Howard
Credentialing Affiliation Coordinat
(217) 540-8946

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093140501

Lifetime Dental Care of Maryland, Badger, P.c.'s National Provider Identifier is 1093140501, issued on Sep 4, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Effingham, IL. The record was last updated on Aug 13, 2019.