| Lifetime Dental Care Of Maryland, Badger, P.c. | |
|
2191 Defense Hwy #210 Crofton MD 21114 | |
| (410) 721-2610 | |
| (410) 721-8053 |
| Full Name | Lifetime Dental Care Of Maryland, Badger, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 2191 Defense Hwy #210, Crofton, Maryland |
| Authorized Official Name and Position | Brittany Nichelle Howard (CREDENTIALING AFFILIATION COORDINAT) |
| Authorized Official Contact | 2175408946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dental Care Of Maryland, Badger, P.c. 1200 Network Centre Drive Suite #2 Effingham IL 62401 Ph: (217) 540-8946 | Lifetime Dental Care Of Maryland, Badger, P.c. 2191 Defense Hwy #210 Crofton MD 21114 Ph: (410) 721-2610 |
| NPI Number | 1619032620 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619032620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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