| Walter K. Little, Jr. Dds | |
|
712 S Washington Ave Mobile AL 36603-1302 | |
| (251) 438-5747 | |
| (251) 438-5737 |
| Full Name | Walter K. Little, Jr. Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 712 S Washington Ave, Mobile, Alabama |
| Authorized Official Name and Position | Walter Kinnard Little (DENTIST) |
| Authorized Official Contact | 2514385747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter K. Little, Jr. Dds 712 S Washington Ave Mobile AL 36603-1302 Ph: (251) 438-5747 | Walter K. Little, Jr. Dds 712 S Washington Ave Mobile AL 36603-1302 Ph: (251) 438-5747 |
| NPI Number | 1164741831 |
|---|---|
| Provider Enumeration Date | 05/20/2010 |
| Last Update Date | 05/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164741831 | NPI | - | NPPES |
| 009968430 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4581 (Alabama) | Primary |
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