Organization
THOMAS L. SITZER, D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS LYMAN SITZER DDS (OWNER)
(507) 288-0102
Entity
Organization
Contact information
Practice address
2112 VIKING DR NW, VALHALLA DENTAL BUILDING, ROCHESTER, MN 55901-3522
(507) 288-0102
(507) 288-2243
Mailing address
2112 VIKING DR NW, VALHALLA DENTAL BUILDING, ROCHESTER, MN 55901-3522
(507) 288-0102
(507) 288-2243
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7249
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39677SI
BLUE CROSS BLUE SHIELD
MN
05
—
779815600
—
MN
Enumeration date
09/01/2011
Last updated
09/01/2011
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