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

NPI #1336518141 in Aberdeen, Maryland

Provider Information

NPI Number: 1336518141
Entity Type: Organization
Organization Name: Lifetime Dental Care of Maryland, Badger, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, PC
Primary Specialty: Dentist
Enumeration Date: Sep 22, 2015
Last Updated: Aug 13, 2019

Practice Location

Address: 1013 BEARDS HILL RD
Address 2: SUITE 100
City: Aberdeen
State: Maryland
ZIP Code: 21001-2293
Phone: (410) 774-5766

Authorized Official

Name: BRITTANY NICHELLE HOWARD
Title: CREDENTIALING AFFILIATION COORDINAT
Phone: (217) 540-8946

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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