Organization
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Active
Parent organization
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Other names
Fairway Village Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFETIME DENTAL CARE OF MARYLAND, BADGER, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
4576 FAIRWAY VILLAGE PL STE 101, WALDORF, MD 20602-5108
(227) 220-4015
Mailing address
4576 FAIRWAY VILLAGE PL STE 101, WALDORF, MD 20602-5108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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