Provider Demographics
NPI:1437209905
Name:LITEL, JAMES G (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:G
Last Name:LITEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 WEST MAIN STREET
Mailing Address - Street 2:PO BOX 253
Mailing Address - City:HARINGTON
Mailing Address - State:NE
Mailing Address - Zip Code:68739
Mailing Address - Country:US
Mailing Address - Phone:402-254-3969
Mailing Address - Fax:402-254-3977
Practice Address - Street 1:103 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:HARINGTON
Practice Address - State:NE
Practice Address - Zip Code:68739
Practice Address - Country:US
Practice Address - Phone:402-254-3969
Practice Address - Fax:402-254-3977
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3758122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE05698OtherBCBS
989471OtherUNITED CONCORDIA