LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. (NPI# 1265959837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265959837 |
| Entity Type | Organization |
| Organization Name | LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C. |
| Other Organization Name | DENTAL PROFFESIONALS OF MARYLAND, GERALD AMADZI P.C. |
| Practice Address |
13919 Baltimore Ave Laurel MD 20707-5044 |
| Mailing Address |
1200 Network Center Dr Suite 2 Effingham IL 62401 |
| Practice Telephone | (301) 498-6511 |
| Mailing Telephone | 2175408946 |
| Mailing Fax Number | 2175408946 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2019-09-09 |
| Authorized Official Name | TABATHA FORREST LEMKE (CREDENTIALING COORDINATOR) |
| 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 |
|---|---|
| Dental Proffesionals of Maryland, Gerald Amadzi P.C. | Other Name - Individual/Organization |
| Laurel Lakes Cosmetic Dentistry | Doing Business As 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 |
| 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 |
13919 BALTIMORE AVE |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
| Find all providers in zip 20707 | ||||
| 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 |
|---|---|---|---|---|
| 1942769468 | Vaibhav Rai Dds LLC | Dentist | 7350 Van Dusen Rd Ste 440, Laurel, MD 20707-5265 | 2019-03-14 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1104319029 | Charming Smiles Family Dentistry | Dentist | 14333 Laurel Bowie Rd Ste 307, Laurel, MD 20708-1183 | 2018-06-14 |
| 1245602168 | Robert F. Gradishar Dds Pa | Dentist | 11200 Scaggsville Rd Ste 119, Laurel, MD 20723-2024 | 2015-10-30 |
| 1891167193 | Laurel Pines Dental 100 LLC | Dentist | 14333 Laurel Bowie Rd Ste 100, Laurel, MD 20708-1149 | 2015-10-26 |
| 1447695127 | Jeffrey Bartoshesky | Dentist | 10250 Stone Creek Dr Unit 1, Laurel, DE 19956-4707 | 2013-05-08 |
| 1508111907 | Halima R Karim | Dentist | 8383 Cherry Ln, Laurel, MD 20707-4832 | 2012-07-21 |
| 1154631075 | Dental Professionals of Maryland, Gerald Awadzi, PC | Dentist | 7500 Montpelier Rd Ste 108, Laurel, MD 20723-6012 | 2010-10-13 |
| 1750522181 | Sung Joo Kim | Dentist | 7302 Waterloo Walk, Laurel, MD 20707-6914 | 2009-03-15 |
| 1124274394 | Robert Stephen Ellis | Dentist | 1434 - Parker Drive, Laurel, MS 39440-1942 | 2008-08-07 |
| Find all providers in LAUREL | ||||
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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.