LITTLE P.C. NPI 1376053710

NPI Information

NPI: 1376053710
Provider Name: LITTLE P.C.

Doing Business As: EAST LAKE DENTAL HOME

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2100 ROSWELL RD STE 1108
MARIETTA, GA
ZIP 30062
Phone: (678) 401-5089
Get Directions

LITTLE P.C. is a dental clinic center in Marietta, GA. LITTLE P.C. NPI is 1376053710. The provider is registered as an organization entity type.
The provider Is Doing Business As East Lake Dental Home.

The provider's business location address is:

2100 ROSWELL RD STE 1108
MARIETTA, GA
ZIP 30062-883
Phone: (678) 401-5089
Fax: (864) 670-5285

The provider's authorized official is Monique Tucker .
The authorized official title is Director Of Insurance and has the following contact phone number (843) 990-9998.

The enumeration date for this NPI number is 10/11/2017 and was last updated on 12/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »