MEDICARE: DR. KAREN WARREN LITTLETON D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4997	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	510-39877	OTHER	AL	BLUE CROSS AND BLUE SHIEL

General Provider Information

NPI Number	:	1821188954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN WARREN LITTLETON D.M.D.

Provider Business Mailing Address
First Line	:	6500 VEDA CIR
Second Line	:
City	:	BESSEMER
State	:	AL
Zip	:	35022-6983
Country	:	US
Telephone Number	:	205-426-8603
Fax Number	:	205-938-9851

Provider Business Practice Location Address
First Line	:	28716 HWY 5 SUITE 4
Second Line	:
City	:	WOODSTOCK
State	:	AL
Zip	:	35188-6983
Country	:	US
Telephone Number	:	205-938-3318
Fax Number	:	205-938-9851

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/09/2007

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