Dr Andrea L Little, DMD | |
750 Morton Blvd, Hazard, KY 41701 | |
(606) 439-3557 | |
Not Available |
Full Name | Dr Andrea L Little |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 750 Morton Blvd, Hazard, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508917345 | NPI | - | NPPES |
45609724 | Other | KY | MEDICAID EPSDT |
60069093 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6909 (Kentucky) | Secondary |
1223G0001X | Dentist - General Practice | 6909 (Kentucky) | Primary |
Entity Name | Kentucky Medical Services Foundation, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326091448 PECOS PAC ID: 5698689909 Enrollment ID: O20031119000300 |
Mailing Address | Practice Location Address |
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Dr Andrea L Little, DMD 800 Rose St # D104, Lexington, KY 40536-7001 Ph: (859) 323-3368 | Dr Andrea L Little, DMD 750 Morton Blvd, Hazard, KY 41701 Ph: (606) 439-3557 |
Dr. Sherry Slone, DMD Dentist Medicare: Medicare Enrolled Practice Location: 750 Morton Blvd, Hazard, KY 41701 Phone: 606-439-1559 Fax: 606-439-1422 | |
Corey Austin Bentley, DMD Dentist Medicare: Medicare Enrolled Practice Location: 750 Morton Blvd, Hazard, KY 41701 Phone: 606-439-3557 Fax: 606-439-1422 | |
Mr. Brian Edward Deaton, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 251 Morton Blvd, Hazard, KY 41701 Phone: 606-439-1079 Fax: 606-439-3878 | |
Dr. Tamara White Karelis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 279 E Main St, Hazard, KY 41701 Phone: 606-487-9505 Fax: 606-436-0071 | |
George Bailey, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 750 Morton Blvd, Hazard, KY 41701 Phone: 606-439-1559 | |
Deborah S Collier, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1908 N Main St, Hazard, KY 41701 Phone: 606-436-0840 Fax: 606-436-0845 | |
James M Jolly Jr., DMD Dentist Medicare: Medicare Enrolled Practice Location: 1724 12 North Main Street, Hazard, KY 41701 Phone: 606-439-4581 Fax: 606-439-2873 |