| Little Smiles | |
|
610 Prairie St Winnsboro LA 71295-2628 | |
| (318) 435-4694 | |
| (318) 435-5503 |
| Full Name | Little Smiles |
|---|---|
| Speciality | Dentist |
| Location | 610 Prairie St, Winnsboro, Louisiana |
| Authorized Official Name and Position | John Thomas Little (OWNER/DENTIST) |
| Authorized Official Contact | 3184354694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Smiles 8629 Highway 17 Winnsboro LA 71295-5426 Ph: (318) 435-4694 | Little Smiles 610 Prairie St Winnsboro LA 71295-2628 Ph: (318) 435-4694 |
| NPI Number | 1588028856 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588028856 | NPI | - | NPPES |
| 1860590 | Medicaid | LA | |
| 1840858 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4085 (Louisiana) | Primary |
| 122300000X | Dentist | 6059 (Louisiana) | Secondary |
| 124Q00000X | Dental Hygienist | 4623 (Louisiana) | Secondary |
Little-cassis Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4310 Front St, Winnsboro, LA 71295 Phone: 318-435-4694 |