Provider Demographics
NPI:1225251713
Name:LITOWITZ, ORTHODONTIST, D.M.D., P.A.
Entity Type:Organization
Organization Name:LITOWITZ, ORTHODONTIST, D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-775-8707
Mailing Address - Street 1:990 N STATE ROAD 434
Mailing Address - Street 2:SUITE 1188
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714
Mailing Address - Country:US
Mailing Address - Phone:407-682-0883
Mailing Address - Fax:407-682-2977
Practice Address - Street 1:990 N STATE ROAD 434
Practice Address - Street 2:SUITE 1188
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714
Practice Address - Country:US
Practice Address - Phone:407-682-0883
Practice Address - Fax:407-682-2977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL132641223X0400X
FL68921223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty