Provider Demographics
NPI:1881830305
Name:BIRKITT, CARY T (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARY
Middle Name:T
Last Name:BIRKITT
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 1:18 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
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014118761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice