Provider Demographics
NPI:1124725353
Name:LITTLE BITE DENTAL CARE, PLLC
Entity type:Organization
Organization Name:LITTLE BITE DENTAL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:AGNERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-929-0500
Mailing Address - Street 1:5003 AUGUST CT
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-0244
Mailing Address - Country:US
Mailing Address - Phone:956-929-0500
Mailing Address - Fax:
Practice Address - Street 1:4522 S RAUL LONGORIA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-2218
Practice Address - Country:US
Practice Address - Phone:956-929-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty