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General NPI Number Information
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NPI Number | 1689894834
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Entity Type | Organization
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Legal Business Name | KEVIN LITTLEFIELD
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 320 E JACKSON
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City | MORTON
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State | IL
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Zip | 61550
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Country | US
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Telephone | 309-266-6705
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Fax | 309-266-1242
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Provider Business Mailing Address
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Address Line | 320 E JACKSON
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City | MORTON
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State | IL
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Zip | 61550
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Country | US
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Telephone | 309-266-6705
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Fax | 309-266-1242
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEVIN LITTLEFIELD
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Credential | DMD LTD
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Telephone | 309-266-6705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | IL
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Taxonomy #2
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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 | IL
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