NPIMap

Organization Active NPI

Lifetime Dental Care of Maryland, Badger, P.C.

Doing business as Dental Care of Westminster

  • General Practice Dentistry
  • Westminster, MD
National Provider Identifier
1881021855
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Doing business as
Dental Care of Westminster
Practice address
480 Meadow Creek Dr
Ste B
Westminster, MD 21158-4445
Phone
(410) 415-9029
NPI assigned
Oct 4, 2013
Last updated
Aug 13, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brittany Nichelle Howard
Title
Credentialing Affiliation Coordin
Phone
(217) 540-8946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

480 Meadow Creek Dr
Ste B
Westminster, MD 21158-4445

Mailing address

1200 Network Centre Drive
Suite #2
Effingham, IL 62401
Phone (217) 540-8946

Other names 2

  • Dental Care of Westminster Doing business as
  • Dental Professionals of Maryland, Gerald Awadzi, PC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of Maryland Badger PC16 organizations share this tax ID, including this one
Part of
Dental Professionals of Maryland Badger PC

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

480 Meadow Creek Dr
#B
Westminster, MD 21158
Phone (410) 415-9029

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1881021855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NETWORK CENTRE DRIVE",
            "address_2": "SUITE #2",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-540-8946",
            "fax_number": "217-540-8946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MEADOW CREEK DR",
            "address_2": "STE B",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211584445",
            "telephone_number": "410-415-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF MARYLAND, GERALD AWADZI, PC",
        "enumeration_date": "2013-10-04",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING AFFILIATION COORDIN",
        "authorized_official_telephone_number": "217-540-8946"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of Westminster",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Care of Westminster",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Professionals of Maryland, Gerald Awadzi, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.