Provider Demographics
NPI:1326160284
Name:ZWIBEL, BURTON CHARLES (DMD)
Entity Type:Individual
Prefix:DR
First Name:BURTON
Middle Name:CHARLES
Last Name:ZWIBEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8951 COLESBURY PL
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3240
Mailing Address - Country:US
Mailing Address - Phone:703-280-5222
Mailing Address - Fax:703-280-4564
Practice Address - Street 1:8951 COLESBURY PL
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3240
Practice Address - Country:US
Practice Address - Phone:703-280-5222
Practice Address - Fax:703-280-4564
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010033111223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics