Provider Demographics
NPI:1598845133
Name:VANHORN, LITTLEJOHN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:LITTLEJOHN
Middle Name:K
Last Name:VANHORN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOHN
Other - Middle Name:K
Other - Last Name:VANHORN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:5901 S LOS ALTOS PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-7667
Mailing Address - Country:US
Mailing Address - Phone:775-626-7772
Mailing Address - Fax:775-626-7811
Practice Address - Street 1:5901 S LOS ALTOS PKWY STE 100
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-7667
Practice Address - Country:US
Practice Address - Phone:775-626-7772
Practice Address - Fax:775-626-7811
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV51221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice