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General NPI Number Information
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NPI Number | 1043891997
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Entity Type | Organization
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Legal Business Name | J LITTLE MINT HILL PLLC
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 11300 CRESTHILL DR STE 115
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City | MINT HILL
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State | NC
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Zip | 28227-7924
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Country | US
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Telephone | 980-243-8030
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Fax |
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Provider Business Mailing Address
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Address Line | 11300 CRESTHILL DR STE 115
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City | MINT HILL
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State | NC
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Zip | 28227-7924
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Country | US
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Telephone | 980-243-8030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JARED MICHAEL LITTLE
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Credential | DDS, MSD
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Telephone | 269-370-3531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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