Organization
ANDREA L. LITTLE, DMD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA LEIGH LITTLE DMD (DENTIST/OWNER)
(606) 672-8800
Entity
Organization
Contact information
Practice address
120 HIGHWAY 80, HYDEN, KY 41749-1910
(606) 672-8800
(606) 672-7549
Mailing address
PO BOX 1910, HYDEN, KY 41749-1910
(606) 672-8800
(606) 672-7549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6909
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45609724
EPSDT
KY
05
—
60069093
—
KY
Enumeration date
11/16/2011
Last updated
11/16/2011
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