LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. (NPI# 1255828232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255828232 |
| Entity Type | Organization |
| Organization Name | LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. |
| Other Organization Name | CONCORD POINT FAMILY DENTISTRY |
| Practice Address |
620 S Union Ave Havre De Grace MD 21078-3422 |
| Mailing Address |
1200 Network Centre Drive Suite #2 Effingham IL 62401 |
| Practice Telephone | 4109391780 |
| Mailing Telephone | 2175408946 |
| Mailing Fax Number | 2175408946 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2019-08-13 |
| Authorized Official Name | BRITTANY NICHELLE HOWARD (CREDENTIALING AFFILIATION COORDINAT) |
| Authorized Official Telephone | 2175408946 |
| Is Organization Subpart | Y |
| Parent Organization Name | DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Concord Point Family Dentistry | Doing Business As Name - Organization |
| Dental Professionals of Maryland, Gerald Awadzi, PC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617321 | Lifetime Dental Care of Maryland, Badger, P.C. | Dentist | 151 Bishop Murphy Dr Ste A, Frostburg, MD 21532-1476 | 2020-10-19 |
| 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 |
| Street Address |
620 S UNION AVE |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902989619 | Kim A Birchen | Dentist | 620 S Union Ave, Havre De Grace, MD 21078-3422 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
| Find all providers in zip 21078 | ||||
| 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 |
|---|---|---|---|---|
| 1164706420 | Swati Chapla Makadia | Dentist | 1500 Blenhiem Farm Ln, Suite D, Havre De Grace, MD 21078-2042 | 2011-10-05 |
| 1083818777 | Christopher D Nguyen | Dentist | 363 Green St., Havre De Grace, MD 21078 | 2007-06-14 |
| 1043428667 | Kimberly Gail Packer | Dentist | 1500 Blenhiem Ln, Suite D, Havre De Grace, MD 21078-2040 | 2007-05-18 |
| 1356487003 | David Daewon Kim | Dentist | 455 Revolution St, Havre De Grace, MD 21078-3330 | 2007-01-29 |
| 1649358029 | Joseph M. Fritz | Dentist | 213 S Washington St, Havre De Grace, MD 21078-3225 | 2006-11-01 |
| 1609973775 | Paul D. Chizmar Dds Pa | Dentist | 333 Green St, Havre De Grace, MD 21078 | 2006-09-20 |
| 1376161927 | Cole Chester | Dentist | 415 Pennington Ave, Havre De Grace, MD 21078-2903 | 2020-07-10 |
| 1831555648 | Smile Partners of Havre De Grace | Dentist | 333 Green St, Havre De Grace, MD 21078-2911 | 2016-01-08 |
| 1154765923 | Herber Brett Friedman, Dds, LLC | Dentist | 201 S Union Ave, Havre De Grace, MD 21078-3223 | 2013-04-24 |
| 1124387790 | Richard V Grubb, D.d.s.,p.a. | Dentist | 203 S Washington St, Havre De Grace, MD 21078-3244 | 2012-05-16 |
| Find all providers in HAVRE DE GRACE | ||||
| City | HAVRE DE GRACE |
| Zip Code | 21078 |
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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.