Organization
ALLEGHENY ORTHODONTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT LITTLE D.D.S. (PRESIDENT)
(814) 262-0123
Entity
Organization
Contact information
Practice address
344 BUDFIELD ST, SUITE 1, JOHNSTOWN, PA 15904-3214
(814) 262-0123
(814) 262-0516
Mailing address
344 BUDFIELD ST, JOHNSTOWN, PA 15904-3214
(814) 262-0123
(814) 262-0516
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
648729
UNITED CONCORDIA PROVIDER
PA
Enumeration date
02/22/2007
Last updated
06/17/2008
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