Provider Demographics
NPI:1215126750
Name:LITTLE, CARVER (DMD)
Entity type:Individual
Prefix:DR
First Name:CARVER
Middle Name:
Last Name:LITTLE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 LAKE ST GEORGE DR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-3511
Mailing Address - Country:US
Mailing Address - Phone:727-787-4746
Mailing Address - Fax:727-250-0736
Practice Address - Street 1:4000 LAKE ST GEORGE DR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-3511
Practice Address - Country:US
Practice Address - Phone:727-787-4746
Practice Address - Fax:727-250-0736
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17877122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist