Provider Demographics
NPI:1609920958
Name:FARRUGIA AND LITWIN DDS PC
Entity Type:Organization
Organization Name:FARRUGIA AND LITWIN DDS PC
Other - Org Name:WHITE MARSH FAMILY DENTISTRY
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FARRUGIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:410-931-7133
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD96301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty