Provider Demographics
NPI:1821464819
Name:LITTLETON FAMILY DENTAL
Entity Type:Organization
Organization Name:LITTLETON FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-797-3867
Mailing Address - Street 1:5401 S PRINCE ST
Mailing Address - Street 2:101
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-1153
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5401 S PRINCE ST
Practice Address - Street 2:101
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-1153
Practice Address - Country:US
Practice Address - Phone:303-797-3867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-13
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental