Eugene Allen Litteken, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4366 Issued in OK

Practice address

1103 Walnut Dr
Pediatric Dental Associates PC
Ardmore, OK 73401-2354

Phone

(580) 226-6290

Fax

(580) 223-4381

NPI assigned

Oct 14, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Dental Associates PC

  • Dentist
  • Ardmore, OK
  • NPI 1447328349
  NPD (past) Authorized official
• William Lytkowski,D.O., P.C.

  • Anesthesiology Physician
  • Ardmore, OK
  • NPI 1285963405
  NPD (past)

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1558451971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 WALNUT DR",
            "address_2": "PEDIATRIC DENTAL ASSOCIATES PC",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012354",
            "telephone_number": "580-226-6290",
            "fax_number": "580-223-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WALNUT DR",
            "address_2": "PEDIATRIC DENTAL ASSOCIATES PC",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012354",
            "telephone_number": "580-226-6290",
            "fax_number": "580-223-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTEKEN",
        "first_name": "EUGENE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-14",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OK",
            "license": "4366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100182220A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100182220D",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100182220B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100182220C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Behavioral Wellness Centers
• Angel Limpach
• Skylar Nicole Limpy, MSPS, LPC
• Lincare Inc.
• Kaely Lindsay, LPC-CANDIDATE
• Cooper Little
• Meghann Lodes, APRN, NP-C
• Serinity Marie Lomshek
• Lone Grove Pharmacy LLC (Lone Grove Pharmacy)
• Vance Allen Long, D.C.

• Pediatric Dentistry in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Pediatric Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.