Individual
DR. MICHAEL RAYMOND LITTLEJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7020 BROOKFIELD ROAD, COLUMBIA, SC 29223
(803) 788-4547
(803) 736-5594
Mailing address
7020 BROOKFIELD ROAD, COLUMBIA, SC 29223
(803) 788-4547
(803) 736-5594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3860
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9558
—
SC
Enumeration date
01/23/2007
Last updated
07/08/2007
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