Little, Andrea L.

Little, Andrea L. is an individual health care provider with primary practice located at 750 Morton Blvd , Hazard KY 41701. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Little, Andrea L. can be contacted via phone (606) 439-3557.

Contact Information

Primary practice address
750 Morton Blvd Hazard KY 41701
Phone: (606) 439-3557
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6909 Kentucky
Dental Providers / General Practice 1223G0001X 6909 Kentucky

Profile Details

NPI number 1508917345
LBN Legal business name Little, Andrea L.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Feb 26th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508917345 NPPES
Kentucky Other 45609724 MEDICAID EPSDT
Kentucky MEDICAID 60069093 MEDICAID EPSDT

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