Healthcare Provider Details

I. General information

NPI: 1821188954
Provider Name (Legal Business Name): KAREN WARREN LITTLETON D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28716 HWY 5 SUITE 4
WOODSTOCK AL
35188-6983
US

IV. Provider business mailing address

6500 VEDA CIR
BESSEMER AL
35022-6983
US

V. Phone/Fax

Practice location:
  • Phone: 205-938-3318
  • Fax: 205-938-9851
Mailing address:
  • Phone: 205-426-8603
  • Fax: 205-938-9851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number4997
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: