Randall Patrick Little, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN010694 Issued in GA

Practice address

813 Covered Bridge Way
Fairburn, GA 30213-9611

Phone

(770) 853-9244

Fax

(770) 441-0299

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285770693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 OAKBROOK DR",
            "address_2": "SUITE 200",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932245",
            "telephone_number": "678-836-2221",
            "fax_number": "770-441-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 COVERED BRIDGE WAY",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302139611",
            "telephone_number": "770-853-9244",
            "fax_number": "770-441-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "RANDALL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley V Lee, LCSW
• Toni Lee
• Legacy Medics LLC.
• Liberation Works LLC
• Angela Parker Little, DNP-EM, FNP-C, ENP-C
• Austin Lively, RPH
• Living Comfortable
• Sammie Lean Lumpkin, CSA
• Crystal Lykes, CERTIFIED HAIR LOSS
• Majestic Visions Alliances, Inc.

• General Practice Dentistry in Fairburn, GA
• Providers in Fairburn, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.