# PEDIATRIC DENTAL ASSOCIATES PC

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

## Provider details

- **NPI number:** 1447328349
- **Authorized official:** DR. EUGENE A LITTEKEN DDS (PRESIDENT)
- **Authorized official phone:** (580) 226-6290

## Contact information

- **Practice address:** 1103 WALNUT DRIVE, PEDIATRIC DENTAL ASSOCIATES PC, ARDMORE, OK 73401
- **Practice address phone:** (580) 226-6290
- **Practice address fax:** (580) 223-4381
- **Mailing address:** 1103 WALNUT DRIVE, PEDIATRIC DENTAL ASSOCIATES PC, ARDMORE, OK 73401
- **Mailing address phone:** (580) 226-6290
- **Mailing address fax:** (580) 223-4381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 06/28/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100182220C | — | OK |