# ANDREA L. LITTLE, DMD, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043597248
- **Authorized official:** DR. ANDREA LEIGH LITTLE DMD (DENTIST/OWNER)
- **Authorized official phone:** (606) 672-8800

## Contact information

- **Practice address:** 120 HIGHWAY 80, HYDEN, KY 41749-1910
- **Practice address phone:** (606) 672-8800
- **Practice address fax:** (606) 672-7549
- **Mailing address:** PO BOX 1910, HYDEN, KY 41749-1910
- **Mailing address phone:** (606) 672-8800
- **Mailing address fax:** (606) 672-7549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6909 | KY | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 11/16/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 45609724 | EPSDT | KY |
| 05 | — | 60069093 | — | KY |