Provider Demographics
NPI:1912071739
Name:LITTLEFIELD, CLOYCE WAYNE JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLOYCE
Middle Name:WAYNE
Last Name:LITTLEFIELD
Suffix:JR
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 1:3617 W GORE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505
Mailing Address - Country:US
Mailing Address - Phone:580-357-0888
Mailing Address - Fax:580-248-1860
Practice Address - Street 1:3617 W GORE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505
Practice Address - Country:US
Practice Address - Phone:580-357-0888
Practice Address - Fax:580-248-1860
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK32771223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery