Provider Demographics
NPI:1679948376
Name:CARY T BIRKITT, DDS LTD
Entity Type:Organization
Organization Name:CARY T BIRKITT, DDS LTD
Other - Org Name:BIRKITT DENTAL
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARY
Authorized Official - Middle Name:TUCKER
Authorized Official - Last Name:BIRKITT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-777-4440
Mailing Address - Street 1:18 LOUDOUN ST SE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20175-3011
Mailing Address - Country:US
Mailing Address - Phone:703-777-4440
Mailing Address - Fax:703-777-6254
Practice Address - Street 1:18 LOUDOUN ST SE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20175-3011
Practice Address - Country:US
Practice Address - Phone:703-777-4440
Practice Address - Fax:703-777-6254
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POTOMAC VALLEY DENTAL CARE, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty