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Individual

DR. PERRY PHILEMON LITTLE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1839 LANE AVE S STE 104, JACKSONVILLE, FL 32210-1260
(904) 300-0126
Mailing address
1839 LANE AVE S STE 104, JACKSONVILLE, FL 32210-1260
(904) 300-0126

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN30969
FL
1223D0001X
Public Health Dentistry
Primary
RR60958501
WA

Other

Enumeration date
07/24/2020
Last updated
04/13/2026
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