| Roy A Little Iii Dmd Pa | |
|
214 West Home Avenue Hartville SC 29550 | |
| (843) 332-1331 | |
| (843) 857-9359 |
| Full Name | Roy A Little Iii Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 214 West Home Avenue, Hartville, South Carolina |
| Authorized Official Name and Position | Roy Armstrong Little (OWNER) |
| Authorized Official Contact | 8433321331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roy A Little Iii Dmd Pa 214 West Home Avenue Hartville SC 29550 Ph: (843) 332-1331 | Roy A Little Iii Dmd Pa 214 West Home Avenue Hartville SC 29550 Ph: (843) 332-1331 |
| NPI Number | 1366502833 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366502833 | NPI | - | NPPES |
| ZA9774 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3330 (South Carolina) | Primary |