Provider Demographics
NPI:1174043913
Name:LITTON FAMILY DENTAL. PLLC
Entity Type:Organization
Organization Name:LITTON FAMILY DENTAL. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-625-4313
Mailing Address - Street 1:457 LANDA ST STE I
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-5414
Mailing Address - Country:US
Mailing Address - Phone:830-625-4313
Mailing Address - Fax:830-625-5518
Practice Address - Street 1:457 LANDA ST STE I
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-5414
Practice Address - Country:US
Practice Address - Phone:830-625-4313
Practice Address - Fax:830-625-5518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QD0000X
TX23997261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental