Organization
E. G. LITTKE D.D.S., MSF, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN G LITTKE DDS (PRESIDENT)
(781) 749-4040
Entity
Organization
Contact information
Practice address
185 LINCOLN STREET SUITE B1, HINGHAM, MA 02043
(781) 749-4040
Mailing address
185 LINCOLN STREET SUITE B1, HINGHAM, MA 02043
(781) 749-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14349
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X11138
BCBS PROVIDER
MA
Enumeration date
04/30/2007
Last updated
08/22/2020
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