Provider Demographics
NPI:1164576401
Name:LITWIN, STEVEN R (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:R
Last Name:LITWIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11600 CROSSROADS CIR
Mailing Address - Street 2:SUITE AB
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2869
Mailing Address - Country:US
Mailing Address - Phone:410-931-7133
Mailing Address - Fax:443-455-1490
Practice Address - Street 1:11600 CROSSROADS CIR
Practice Address - Street 2:SUITE AB
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21220-2869
Practice Address - Country:US
Practice Address - Phone:410-931-7133
Practice Address - Fax:443-455-1490
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD96301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice