Provider Demographics
NPI:1396850392
Name:SITTO, OLA MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:OLA
Middle Name:MICHAEL
Last Name:SITTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5830 N LAPEER RD
Mailing Address - Street 2:STE A
Mailing Address - City:NORTH BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48461
Mailing Address - Country:US
Mailing Address - Phone:810-793-7800
Mailing Address - Fax:
Practice Address - Street 1:5830 N LAPEER RD
Practice Address - Street 2:
Practice Address - City:NORTH BRANCH
Practice Address - State:MI
Practice Address - Zip Code:48461
Practice Address - Country:US
Practice Address - Phone:810-793-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI14464122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist