Provider Demographics
NPI:1821188954
Name:LITTLETON, KAREN WARREN (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:WARREN
Last Name:LITTLETON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 VEDA CIR
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-6983
Mailing Address - Country:US
Mailing Address - Phone:205-426-8603
Mailing Address - Fax:205-938-9851
Practice Address - Street 1:28716 HWY 5 SUITE 4
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:AL
Practice Address - Zip Code:35188-6983
Practice Address - Country:US
Practice Address - Phone:205-938-3318
Practice Address - Fax:205-938-9851
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL49971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-39877OtherBLUE CROSS AND BLUE SHIEL