OrganizationActive
Lifetime Dental Care of Maryland, Badger, P.C.
NPI 1992899488 · General Practice Dentistry · Laurel, MD
Provider details
- NPI number
- 1992899488
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Lifetime Dental Care of Maryland, Badger, P.C.
- Organization subpart
- Yes
- Authorized official
- Tabatha Lemke, Credentialing Coordinator(217) 540-6078
- License
- 10680 (MD)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
535 Main Street
Suite 113
Laurel, MD 20707-4335
Phone: (301) 490-0044
Fax: (301) 497-1900
Street-level locationGet directions
Mailing address
535 Main St Ste 113
Laurel, MD 20707-4335
Other names (DBA / former)
- Former legal business name
- Dental Professionals of Maryland, Gerald Awadzi, P.C.
- Doing business as
- Olde Town Laurel Dental
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2021-06-07
- Certified
- 2021-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.