Healthcare Provider Details

I. General information

NPI: 1063327278
Provider Name (Legal Business Name): LITTLE FLOWER PEDIATRIC DENTISTRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4131 HIGHWAY 167
MAURICE LA
70555
US

IV. Provider business mailing address

4131 HIGHWAY 167
MAURICE LA
70555
US

V. Phone/Fax

Practice location:
  • Phone: 337-263-1110
  • Fax:
Mailing address:
  • Phone: 337-263-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. SHILPA LISTI
Title or Position: OWNER/DOCTOR
Credential: DDS
Phone: 337-263-1110