Healthcare Provider Details

I. General information

NPI: 1568623577
Provider Name (Legal Business Name): AMARIS M LITTLE D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMARIS M LITTLE RAJASKI

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 S 2ND ST
WOODSBORO MD
21798-8511
US

IV. Provider business mailing address

309 S 2ND ST
WOODSBORO MD
21798-8511
US

V. Phone/Fax

Practice location:
  • Phone: 301-898-7151
  • Fax:
Mailing address:
  • Phone: 301-898-7151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number13379
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: