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 |
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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 |
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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 |
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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 |