Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lifetime Dental Care of Maryland, Badger, PC

Organization Dentist · NPI 1285504662

Lifetime Dental Care of Maryland, Badger, PC is a Dentist in Waldorf, Maryland. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4576 Fairway Village Pl Ste 101
Waldorf, MD 20602-5108
Phone: (227) 220-4015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1285504662
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLifetime Dental Care of Maryland, Badger, PC
Authorized official Cemyira McDougal — Credentialing Coordinator · (217) 764-8609
Other names Fairway Village Dental Care
NPI enumeratedNovember 10, 2025
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address4576 Fairway Village Pl Ste 101, Waldorf, MD 20602-5108

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