Organization · Type 2 NPI

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

Dentist · Waldorf, MD

NPI number 1285504662 Active

Practice location

4576 Fairway Village Pl Ste 101
Waldorf, MD 20602-5108

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	None listed

Dentist: 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 requiremen…

2 other providers at this address

Other dentist providers in Waldorf

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NPI record

NPI: 1285504662
Entity type: Organization (Type 2)
Issued: Nov 10, 2025
Last updated: Nov 10, 2025
Status: Active
Subpart: Yes of Lifetime Dental Care of Maryland, Badger, P.c.

Other names

Fairway Village Dental Care · doing business as

Authorized official

Cemyira McDougal
Credentialing Coordinator
(217) 764-8609

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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 1285504662

Lifetime Dental Care of Maryland, Badger, P.c.'s National Provider Identifier is 1285504662, issued on Nov 10, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Waldorf, MD. The record was last updated on Nov 10, 2025.