Provider Demographics
NPI:1598737108
Name:LITTLE, BROOKES FITE (DDS)
Entity Type:Individual
Prefix:DR
First Name:BROOKES
Middle Name:FITE
Last Name:LITTLE
Suffix:
Gender:F
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:RR 1 BOX 114
Mailing Address - Street 2:
Mailing Address - City:GARVIN
Mailing Address - State:OK
Mailing Address - Zip Code:74736-9722
Mailing Address - Country:US
Mailing Address - Phone:580-286-2600
Mailing Address - Fax:580-286-1172
Practice Address - Street 1:902 E LINCOLN RD
Practice Address - Street 2:
Practice Address - City:IDABEL
Practice Address - State:OK
Practice Address - Zip Code:74745-7337
Practice Address - Country:US
Practice Address - Phone:580-286-2600
Practice Address - Fax:580-286-1172
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK51031223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health