# LITTLE BIG KIDS PEDIATRIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LITTLE BIG KIDS PEDIATRIC DENTISTRY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629786603
- **Legal business name:** LITTLE BIG KIDS PEDIATRIC DENTISTRY
- **Authorized official:** CHRISTINA JEAN DORTON (OFFICE MANAGER)
- **Authorized official phone:** (509) 771-2155

## Contact information

- **Practice address:** 1731 S 1ST ST \#500, YAKIMA, WA 98901-3796
- **Practice address phone:** (509) 955-4853
- **Practice address fax:** (509) 955-8848
- **Mailing address:** 800 N STRATFORD RD, MOSES LAKE, WA 98837-1512
- **Mailing address phone:** (509) 765-2255
- **Mailing address fax:** (509) 765-1155

## Taxonomy

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

## Other

- **Enumeration date:** 11/09/2022
- **Last updated:** 07/17/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2058522 | — | WA |