Provider Demographics
NPI:1902283724
Name:LITTLE, MARIA CAMILLE OZO (DDS)
Entity Type:Individual
Prefix:
First Name:MARIA CAMILLE
Middle Name:OZO
Last Name:LITTLE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BARTOW
Mailing Address - State:FL
Mailing Address - Zip Code:33830-4832
Mailing Address - Country:US
Mailing Address - Phone:863-533-9471
Mailing Address - Fax:201-603-1414
Practice Address - Street 1:950 AVENUE C
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3022
Practice Address - Country:US
Practice Address - Phone:201-339-8019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-30
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN25024122300000X
NJ22DI02595600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist