Individual
KELSEY LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1500 PRICE CREEK WAY, NORTH PORT, FL 34288-2414
(941) 200-5094
Mailing address
1500 PRICE CREEK WAY, NORTH PORT, FL 34288-2414
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
40338
TX
122300000X
Dentist
D010332
AZ
122300000X
Dentist
Primary
DN31421
FL
Other
Enumeration date
05/23/2019
Last updated
03/17/2026
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