| Lifetime Dental Care Of Maryland, Badger, P.c. | |
|
23140 Moakley St Suite 5 Leonardtown MD 20650-2930 | |
| (301) 475-2881 | |
| Not Available |
| Full Name | Lifetime Dental Care Of Maryland, Badger, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23140 Moakley St, Leonardtown, 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. 23140 Moakley St Suite 5 Leonardtown MD 20650-2930 Ph: (301) 475-2881 |
| NPI Number | 1669893475 |
|---|---|
| Provider Enumeration Date | 12/20/2013 |
| Last Update Date | 08/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669893475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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