Provider Demographics
NPI:1790458404
Name:DONALD E. SITZES
Entity Type:Organization
Organization Name:DONALD E. SITZES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:SITZES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:870-845-1901
Mailing Address - Street 1:121 W HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-2064
Mailing Address - Country:US
Mailing Address - Phone:870-845-1901
Mailing Address - Fax:870-845-2225
Practice Address - Street 1:121 W HOWARD ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-2064
Practice Address - Country:US
Practice Address - Phone:870-845-1901
Practice Address - Fax:870-845-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty