NPI: 1902339062
Provider Name: LIFETIME DENTAL CARE OF MARYLAND BADGER, P.C.
Former Legal Business Name: DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
4959 WESTVIEW DR
SUITE F
FREDERICK, MD
ZIP 21703
Phone: (301) 363-1211
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LIFETIME DENTAL CARE OF MARYLAND BADGER, P.C. is a general practice dentist in Frederick, MD. The provider is 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. LIFETIME DENTAL CARE OF MARYLAND BADGER, P.C. NPI is 1902339062. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dental Professionals Of Maryland, Gerald Awadzi, Pc.
The provider's business location address is:
4959 WESTVIEW DR
SUITE F
FREDERICK, MD
ZIP 21703-369
Phone: (301) 363-1211
The provider's authorized official is Brittany Nichelle Howard .
The authorized official title is Credentialing Affiliation Coordinat and has the following contact phone number (217) 590-8946.
The enumeration date for this NPI number is 4/6/2017 and was last updated on 8/13/2019.