Provider Demographics
NPI:1356464168
Name:DAISS-SITZMANN, PAMELA JEAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:JEAN
Last Name:DAISS-SITZMANN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:JEAN
Other - Last Name:DAISS-EHRHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:9235 CROWN CREST BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8807
Mailing Address - Country:US
Mailing Address - Phone:303-693-5297
Mailing Address - Fax:303-693-1884
Practice Address - Street 1:9235 CROWN CREST BLVD STE 230
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8807
Practice Address - Country:US
Practice Address - Phone:303-693-5297
Practice Address - Fax:303-693-1884
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO60621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice