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NPI Code Detail

MEDICARE: DENTAL HEALTH PROFESSIONALS OF MARYLAND, BADGER, P.C.

MEDICARE: DENTAL HEALTH PROFESSIONALS OF MARYLAND, BADGER, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1649742115
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL HEALTH PROFESSIONALS OF MARYLAND, BADGER, P.C.
Provider Business Mailing Address
First Line : 1460 RITCHIE HWY STE 203
Second Line :
City : ARNOLD
State : MD
Zip : 21012-2741
Country : US
Telephone Number : 410-757-6681
Fax Number :
Provider Business Practice Location Address
First Line : 1460 RITCHIE HWY STE 203
Second Line :
City : ARNOLD
State : MD
Zip : 21012-2741
Country : US
Telephone Number : 410-757-6681
Fax Number :
Authorized Official
Title or Position : CREDENTIALING MANAGER
Name : HANNAH FISH
Credential :
Telephone Number : 217-540-5699
Provider Enumeration Date : 12/21/2018
Last Update Date : 05/11/2023

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Directions to “DENTAL HEALTH PROFESSIONALS OF MARYLAND, BADGER, P.C. ” Practice Location

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