Provider Demographics
NPI:1659521110
Name:LITTON, HERBERT MICHAEL (DDS)
Entity Type:Individual
Prefix:
First Name:HERBERT
Middle Name:MICHAEL
Last Name:LITTON
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 1:6151 WILSON MILLS RD
Mailing Address - Street 2:#304
Mailing Address - City:HIGHLAND HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143
Mailing Address - Country:US
Mailing Address - Phone:440-461-3637
Mailing Address - Fax:440-460-1019
Practice Address - Street 1:6151 WILSON MILLS RD
Practice Address - Street 2:#304
Practice Address - City:HIGHLAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143
Practice Address - Country:US
Practice Address - Phone:440-461-3637
Practice Address - Fax:440-460-1019
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH129081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice