LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. (NPI# 1023617321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023617321 |
| Entity Type | Organization |
| Organization Name | LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. |
| Practice Address |
151 Bishop Murphy Dr Ste A Frostburg MD 21532-1476 |
| Practice Telephone | 3016896780 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Lifetime Dental Care of Frostburg | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265959837 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 13919 Baltimore Ave, Laurel, MD 20707-5044 | 2017-08-24 |
| 1265971295 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 821 W Benfield Rd Ste 6, Severna Park, MD 21146-2220 | 2017-02-23 |
| 1659730380 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 6400 Ridge Rd # H, Sykesville, MD 21784-6248 | 2016-02-23 |
| 1144622739 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 703 Baltimore Pike, Bel Air, MD 21014-4209 | 2014-09-25 |
| 1881021855 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 480 Meadow Creek Dr, Ste B, Westminster, MD 21158-4445 | 2013-10-04 |
| 1093140501 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 | 2013-09-04 |
| 1972857589 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 7499 Greenbelt Rd, #22, Greenbelt, MD 20770-3402 | 2012-11-05 |
| 1295089001 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 15648 Old Columbia Pike, Burtonsville, MD 20866 | 2012-10-31 |
| 1356365910 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 11301 Rockville Pike, Kensington, MD 20895-1060 | 2006-07-27 |
| 1255828232 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 620 S Union Ave, Havre De Grace, MD 21078-3422 | 2018-04-16 |
| Street Address |
151 BISHOP MURPHY DR STE A |
| City | FROSTBURG |
| State | MD |
| Zip Code | 21532-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740709732 | Kennedy Alxya Logsdon | Specialist/Technologist | 100 Dr. Gasmick Lane, Frostburg, MD 21532 | 2017-09-12 |
| 1699130419 | Jessica Bittinger | Occupational Therapy Assistant | 1 Kaylor Circle, Frostburg, MD 21532 | 2015-12-21 |
| 1689013138 | Kevin R Simonson | Psychologist | 101 Braddock Rd Frostburg State University, 101 Sand Spring Hall, Frostburg, MD 21532 | 2013-06-18 |
| 1114266897 | Tara Renee Robison | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-01-31 |
| 1821133703 | Diane D Romaine | Dentist | 151 Bishop Murphy Drive, Frostburg, MD 21532 | 2007-02-20 |
| 1932669231 | Jennifer Lou Anto | Nurse Practitioner | 101 Braddock Rd, Frostburg, MD 21532 | 2019-03-22 |
| 1659610186 | Shanalyn Michelle Reighard | Physical Therapy Assistant | One Kaylor Circle, Frostburg, MD 21532 | 2013-02-04 |
| 1639407133 | Suanne Marie Lewis | Psychologist | 420 Crestview Dr, Frostburg, MD 21532-1100 | 2009-11-23 |
| 1265499016 | Western Maryland Health System Corporation | Skilled Nursing Facility | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-04-26 |
| 1669545810 | Dean Andrew Mulcaster | Physical Therapy Assistant | 48 Tarn Ter, Frostburg, MD 21532-1217 | 2006-11-16 |
| Find all providers in zip 21532 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821133703 | Diane D Romaine | Dentist | 151 Bishop Murphy Drive, Frostburg, MD 21532 | 2007-02-20 |
| 1508831371 | Jerry David Shepherd II | Dentist | 16920 National Hwy Sw, Frostburg, MD 21532-3306 | 2006-02-22 |
| 1003335506 | Trevor Frederick Maples | Dentist | 16920 National Hwy Sw, Frostburg, MD 21532-3306 | 2017-09-15 |
| 1972755098 | Diane D Romaine, Dmd, Pa | Dentist | 151 Bishop Murphy Dr, Frostburg, MD 21532-1329 | 2008-10-21 |
| 1093981268 | Peter Trytsman Hart | Dentist | 325 E Main St, Frostburg, MD 21532-2016 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061166 | Frederick Center for Dentistry, LLC | Dentist | 140 Thomas Johnson Dr Ste 203, Frederick, MD 21702-4485 | 2020-10-23 |
| 1427656248 | Kopit Dental Care, Pa | Dentist | 3420 Worthington Blvd Ste A, Frederick, MD 21704-7020 | 2020-10-14 |
| 1588261085 | Rejuvenation Dental LLC | Dentist | 85 High St Ste 6, Waldorf, MD 20602-2150 | 2020-10-07 |
| 1508463092 | Zhuozhao Mei, LLC | Dentist | 11514 Georgia Avenue, Silver Spring, MD 20902 | 2020-10-07 |
| 1992302731 | Brandy L Carullo | Dentist | 8503 Greenbelt Rd Ste T4, Greenbelt, MD 20770-2303 | 2020-10-05 |
| 1871109850 | James Bantz Wooddell Jr. | Dentist | 600 Ridgely Ave Ste 225, Annapolis, MD 21401-1089 | 2020-09-16 |
| 1003421330 | Aspen Hill Implant & Family Dentistry, P.c | Dentist | 1401 Mercantile Ln # 583, Upper Marlboro, MD 20774-4301 | 2020-09-14 |
| 1457965238 | Shalom Dental | Dentist | 5801 Allentown Rd Ste 307, Camp Springs, MD 20746-4582 | 2020-08-31 |
| 1598377921 | John Francis Battinelli | Dentist | 325 Gambrills Rd Ste C, Gambrills, MD 21054-1102 | 2020-08-18 |
| 1902416464 | Charles Steel | Dentist | 605 Olney-sandy Spring Rd., Sandy Spring, MD 20860 | 2020-08-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.