Daryl Bayard Witt, DDS
Individual provider Active NPI General Practice Dentistry · Laytonsville, MD
NPI 1710078852 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1710078852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 05933 (MD)
- Practice address
- 6835 Olney Laytonsville Road
Suite 200
Laytonsville, MD 20882 - Phone
- (301) 977-8855
- Fax
- (301) 977-8856
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160509000972 | MD | Order and Referring Only - Dentist |
3375842628 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05933 | MD | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 05933 | MD | Yes |
Addresses
Primary practice location
6835 Olney Laytonsville Road
Suite 200
Laytonsville, MD 20882
Mailing address
PO Box 5066
Laytonsville, MD 20882
Phone (301) 977-8855
Other providers in Laytonsville, MD
- Royal Treatment Health Care Services, Inc.
- Isha Sharma
- Sheila L Brush, DDS, PC
- Carol Ann Sims
- Christina Marie Van Norman
All providers in Laytonsville, MD · General Practice Dentistry in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.