Provider Demographics
NPI:1821656885
Name:DAVIDB. SITTASON DMD,PC
Entity Type:Organization
Organization Name:DAVIDB. SITTASON DMD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:RALEY
Authorized Official - Last Name:SITTASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-773-2233
Mailing Address - Street 1:819 HIGHWAY 31 NW
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-4412
Mailing Address - Country:US
Mailing Address - Phone:256-773-2233
Mailing Address - Fax:256-773-2909
Practice Address - Street 1:819 HIGHWAY 31 NW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-4412
Practice Address - Country:US
Practice Address - Phone:256-773-2233
Practice Address - Fax:256-773-2909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2019-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental