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NPI Code Detail

MEDICARE: DR. JAY B LITTLEFIELD DDS

MEDICARE: DR. JAY B LITTLEFIELD DDS
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
1122300000XDentist28998TX

General Provider Information

NPI Number : 1972940203
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY B LITTLEFIELD DDS
Provider Business Mailing Address
First Line : 421 N 38TH ST
Second Line :
City : KILLEEN
State : TX
Zip : 76543-4153
Country : US
Telephone Number : 254-634-0234
Fax Number :
Provider Business Practice Location Address
First Line : 421 N 38TH ST
Second Line :
City : KILLEEN
State : TX
Zip : 76543-4153
Country : US
Telephone Number : 254-634-0234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2013
Last Update Date : 07/29/2016

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Directions to “ DR. JAY B LITTLEFIELD DDS” Practice Location

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