Organization · Type 2 NPI

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

General Practice Dentistry · Leonardtown, MD

NPI number 1669893475 Active

Practice location

23140 Moakley St, Suite 5
Leonardtown, MD 20650-2930

Call (301) 475-2881 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.

11 other providers at this address

Other general practice dentistry providers in Leonardtown

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NPI record

NPI: 1669893475
Entity type: Organization (Type 2)
Issued: Dec 20, 2013
Last updated: Aug 13, 2019
Status: Active
Subpart: Yes of Dental Professionals of Maryland, Gerald Awadzi, P.c.

Other names

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Breton Bay Dentistry · 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 1669893475

Lifetime Dental Care of Maryland, Badger, P.c.'s National Provider Identifier is 1669893475, issued on Dec 20, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Leonardtown, MD. The record was last updated on Aug 13, 2019.