George N Little, D.D.S
Individual provider Active NPI Dentist · Ross, CA
NPI 1992997308 · NPPES record last updated Aug 10, 2007
Key facts
- NPI
- 1992997308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 42847 (CA)
- Practice address
- 7 Redwood Drive
Ross, CA 94957 - Phone
- (415) 925-2545
- Fax
- (415) 925-9220
- NPI assigned
- Aug 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42847 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George N. Little, D.D.S., Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 42847 | CA | Yes |
Addresses
Primary practice location
7 Redwood Drive
Ross, CA 94957
Mailing address
7 Redwood Drive
Ross, CA 94957
Phone (415) 925-2545
Other providers in Ross, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.