LITTLE P.C. (NPI# 1376053710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376053710 |
| Entity Type | Organization |
| Organization Name | LITTLE P.C. |
| Other Organization Name | EAST LAKE DENTAL HOME |
| Practice Address |
2100 Roswell Rd Ste 1108 Marietta GA 30062-0883 |
| Mailing Address |
4921 Centre Pointe Dr Ste 201 North Charleston SC 29418-6997 |
| Practice Telephone | 6784015089 |
| Practice Fax Number | 8646705285 |
| Mailing Telephone | 8439909998 |
| Mailing Fax Number | 8646705285 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | MONIQUE TUCKER (DIRECTOR OF INSURANCE) |
| Authorized Official Telephone | 8439909998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| East Lake Dental Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093227043 | Little P.C. | Clinic/Center | 1909 E Victory Dr Ste F106, Savannah, GA 31404-3725 | 2017-10-31 |
| 1871005934 | Little P.C. | Clinic/Center | 103 Park Ave Ste 200, Pooler, GA 31322-4262 | 2017-10-30 |
| 1205346640 | Little P.C. | Clinic/Center | 1360 Dogwood Dr Se Ste 304, Conyers, GA 30013-5076 | 2017-10-11 |
| 1689184129 | Little P.C. | Clinic/Center | 13015 Brown Bridge Rd Ste 340&350, Covington, GA 30016-9111 | 2017-10-11 |
| 1699285130 | Little P.C. | Clinic/Center | 250 Adley Way, Greenville, SC 29607-6511 | 2017-10-11 |
| 1487164828 | Little P.C. | Clinic/Center | 236 Tom Hill Sr Blvd, Macon, GA 31210-1815 | 2017-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | LITTLE P, LLC | 755 Petersburg Road, Tuscaloosa, AL 35406-1783 |
| Washington State Corporations | LITTLE PACIFIC DESIGN CO LLC | 2715 W Rockwell Ave, Spokane, WA 99205-1520 |
| Washington State Corporations | LITTLE PACIFIC DESIGN STUDIO LLC | 2715 W Rockwell Ave, Spokane, WA 99205-1520 |
| Oregon Corporations, Companies and Business Names | LITTLE PACKAGE | 6835 Ne Broadway, Portland, OR 97213 |
| Massachusetts Corporations | LITTLE PACKRATS, INC. | 315 Lost Lake Dr., Groton, MA 01450 |
| Iowa Business Entities | LITTLE PADDED SEATS, L.L.C. | 1551 Valley West Dr 153, West Des Moines, IA 50266 |
| New York State Corporations | LITTLE PAINT RESCUE L.L.C. | 280 Daisy Lane, Carmel, Ny 10512 |
| New York State Corporations | LITTLE PAKISTAN DELI, CORP. | 200 2nd Ave, New York, Ny 10003 |
| Colorado Business Entities | Little Pal Properties LLC | 1110 Burnt Tavern Rd., Point Pleasant, NJ 08742 |
| Virginia Business Entities | Little Palates LLC | 6526 Esmont Rd, Keene, Virginia 22946 |
| Street Address |
2100 ROSWELL RD STE 1108 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-0883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1952935710 | West Cobb Periodontics and Implant Dentistry LLC | Clinic/Center | 44 Old Hamilton Rd Nw Ste 200, Marietta, GA 30064-5901 | 2020-03-02 |
| 1609408947 | One Dental, LLC | Clinic/Center | 2500 Dallas Hwy Sw Ste 2021058, Marietta, GA 30064-2567 | 2020-02-05 |
| 1356809966 | Dental Wellness Center of Marietta, LLC | Clinic/Center | 2100 Roswell Rd Ste A&b, Marietta, GA 30062-0810 | 2019-03-04 |
| 1144850926 | Fidanoski Dentistry, LLC | Clinic/Center | 1150 Whitlock Ave Nw, Marietta, GA 30064-1933 | 2020-01-22 |
| 1891359469 | Dental Outreach, D. Austin Rehl, Dds, Peter E. Lovejoy, Dds, and Jarek | Clinic/Center | 30 Acme St, Marietta, OH 45750-3306 | 2019-04-29 |
| 1538641162 | Marietta Smile Gallery | Clinic/Center | 3535 Roswell Rd Ste 3, Marietta, GA 30062-8827 | 2018-08-30 |
| 1750792909 | Paper Mill Dental LLC | Clinic/Center | 135 Johnson Ferry Rd, #2210, Marietta, GA 30068-4942 | 2014-05-09 |
| 1093146078 | Marietta Smiles LLC | Clinic/Center | 175 White St Nw, Suite 300, Marietta, GA 30060-1053 | 2013-12-02 |
| 1114132115 | Robert A Foster Jr Dmd PC | Clinic/Center | 1230 Johnson Ferry Pl, Suite C-10, Marietta, GA 30068-2048 | 2007-05-11 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.