Organization
LITTLE P.C.
Active
Other names
DentalHome of Covington
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE TUCKER (DIRECTOR OF INSURANCE)
(843) 990-9998
Entity
Organization
Contact information
Practice address
13015 BROWN BRIDGE RD STE 340&350, COVINGTON, GA 30016-9111
(843) 990-9998
Mailing address
250 ADLEY WAY, GREENVILLE, SC 29607-6511
(843) 990-9998
(866) 568-4935
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
12/08/2017
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