| Andrea L. Little, Dmd, Psc | |
|
120 Highway 80 Hyden KY 41749-1910 | |
| (606) 672-8800 | |
| (606) 672-7549 |
| Full Name | Andrea L. Little, Dmd, Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 Highway 80, Hyden, Kentucky |
| Authorized Official Name and Position | Andrea Leigh Little (DENTIST/OWNER) |
| Authorized Official Contact | 6066728800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea L. Little, Dmd, Psc Po Box 1910 Hyden KY 41749-1910 Ph: (606) 672-8800 | Andrea L. Little, Dmd, Psc 120 Highway 80 Hyden KY 41749-1910 Ph: (606) 672-8800 |
| NPI Number | 1043597248 |
|---|---|
| Provider Enumeration Date | 11/16/2011 |
| Last Update Date | 11/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043597248 | NPI | - | NPPES |
| 60069093 | Medicaid | KY | |
| 45609724 | Other | KY | EPSDT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6909 (Kentucky) | Primary |