Individual provider Active NPI

Pat R Little, DDS

  • General Practice Dentistry
  • Dalton, GA
National Provider Identifier
1780679456
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN010339 Issued in GA
Practice address
1020 Chattanooga Ave
Ste D
Dalton, GA 30720-8880
Phone
(706) 277-1671
NPI assigned
Sep 19, 2005
Last updated
Mar 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN010339 GA Primary

Addresses

Primary practice location

1020 Chattanooga Ave
Ste D
Dalton, GA 30720-8880

Mailing address

318 Orchard Way SE
Calhoun, GA 30701-4587
Phone (706) 277-1671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251216000496 GA Practitioner - Dentist 9931693041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Virginia Commonwealth Univ School of Dentistry, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Jeff L Rodgers DMD PCGroup PAC ID 7012142128, 2 clinicians

Practice addresses (Care Compare)

1690 Stone Village LN NW
Suite 1001
Kennesaw, GA 30152-7714
Phone (770) 288-5991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN010339GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jeff L. Rodgers, DMD, PC CurrentSince Oct 15, 2025 Accepting new patients
Dalton Dental Services, Inc General Practice Past Accepting new patients

Locations

1719 Mount Vernon Rd
Dunwoody, GA 30338
Phone (770) 391-2771

1690 Stone Village Ln NW
Ste 1001
Kennesaw, GA 30152
Phone (770) 288-5991

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205971200000",
    "number": "1780679456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 ORCHARD WAY SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307014587",
            "telephone_number": "706-277-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 CHATTANOOGA AVE",
            "address_2": "STE D",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208880",
            "telephone_number": "706-277-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "PAT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2008-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN010339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.