Provider Demographics
NPI:1306260062
Name:LITTLE SMILES
Entity type:Organization
Organization Name:LITTLE SMILES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOPPE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-219-1811
Mailing Address - Street 1:2000 SUN CHASE BLVD.
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613
Mailing Address - Country:US
Mailing Address - Phone:512-219-1811
Mailing Address - Fax:512-219-1803
Practice Address - Street 1:2000 SUNCHASE BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3589
Practice Address - Country:US
Practice Address - Phone:512-219-1811
Practice Address - Fax:512-219-1803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2014-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19363261QD0000X
TX24143261QD0000X
TX19362261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental