Provider Demographics
NPI:1184241051
Name:SITTON, SETH REGAN (DMD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:REGAN
Last Name:SITTON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10117 NW 140TH ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-8933
Mailing Address - Country:US
Mailing Address - Phone:480-336-0695
Mailing Address - Fax:
Practice Address - Street 1:322 SE 11TH ST
Practice Address - Street 2:
Practice Address - City:ANADARKO
Practice Address - State:OK
Practice Address - Zip Code:73005-4446
Practice Address - Country:US
Practice Address - Phone:405-247-7676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK73521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice