Organization · Type 2 NPI

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

General Practice Dentistry · Laurel, MD

NPI number 1265959837 Active

Practice location

13919 Baltimore Ave
Laurel, MD 20707-5044

Call (301) 498-6511 Map

Mailing address

1200 Network Center Dr, Suite 2
Effingham, IL 62401

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: 1265959837
Entity type: Organization (Type 2)
Issued: Aug 24, 2017
Last updated: Jul 21, 2022
Status: Active
Subpart: Yes of Dental Professionals of Maryland, Gerald Awadzi, P.c.

Other names

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Dental Proffesionals of Maryland, Gerald Amadzi P.c. · other name

Authorized official

Tabatha Forrest Lemke
Credentialing Coordinator
(217) 540-8946

Verify this record

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 1265959837

Lifetime Dental Care of Maryland, Badger, P.c.'s National Provider Identifier is 1265959837, issued on Aug 24, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Laurel, MD. The record was last updated on Jul 21, 2022.