# LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
- **Other names:** Muddy Branch Dental Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285373860
- **Legal business name:** LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
- **Authorized official:** COURTNEY MONTEITH (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8306

## Contact information

- **Practice address:** 808 MUDDY BRANCH RD, GAITHERSBURG, MD 20878-2780
- **Practice address phone:** (301) 330-0911
- **Mailing address:** 808 MUDDY BRANCH RD, GAITHERSBURG, MD 20878-2780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2022
- **Last updated:** 06/01/2022