Organization · Type 2 NPI

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

General Practice Dentistry · Severna Park, MD

NPI number 1265971295 Active

Practice location

821 W Benfield Rd Ste 6
Severna Park, MD 21146-2220

Call (410) 987-3204 Map

Mailing address

1200 Network Centre Drive, 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.

3 other providers at this address

Other general practice dentistry providers in Severna Park

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NPI record

NPI: 1265971295
Entity type: Organization (Type 2)
Issued: Feb 23, 2017
Last updated: Aug 13, 2019
Status: Active
Subpart: Yes of Dental Professionals of Maryland, Gerald Awadzi, P.c.

Other names

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Severna Park Dental Care · doing business as
Severna Park Dental Care · doing business as
Dental Professionals of Maryland, Gerald Awadzi, P.c. · former legal business name

Authorized official

Brittany Nichelle Howard
Credentialing Affiliation Coordinat
(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 1265971295

Lifetime Dental Care of Maryland, Badger, P.c.'s National Provider Identifier is 1265971295, issued on Feb 23, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Severna Park, MD. The record was last updated on Aug 13, 2019.