Provider Demographics
NPI:1366000465
Name:LITTLE BY LITTLE PEDIATRIC DENTISTRY CORP
Entity Type:Organization
Organization Name:LITTLE BY LITTLE PEDIATRIC DENTISTRY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:MAIRYM
Authorized Official - Last Name:PINERO CORREA
Authorized Official - Suffix:I
Authorized Official - Credentials:DDS
Authorized Official - Phone:561-770-3000
Mailing Address - Street 1:1405 N ALTERNATE A1A STE 106
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33469-3227
Mailing Address - Country:US
Mailing Address - Phone:561-770-3000
Mailing Address - Fax:
Practice Address - Street 1:1405 N ALTERNATE A1A STE 106
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33469-3227
Practice Address - Country:US
Practice Address - Phone:561-770-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty