Organization
LITTLE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS LITTLE D.D.S (OWNER/DENTIST)
(318) 435-4694
Entity
Organization
Contact information
Practice address
610 PRAIRIE ST, WINNSBORO, LA 71295-2628
(318) 435-4694
(318) 435-5503
Mailing address
8629 HIGHWAY 17, WINNSBORO, LA 71295-5426
(318) 435-4694
(318) 435-5503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4085
LA
122300000X
Dentist
6059
LA
124Q00000X
Dental Hygienist
4623
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1840858
—
LA
05
—
1860590
—
LA
Enumeration date
04/12/2016
Last updated
04/12/2016
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