Shepherd a Sittason DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0401411800 Issued in VA

Legal business name

SHEPHERD A SITTASON DDS PC

Practice address

105 Paulette Circle
Lynchburg, VA 24502

Phone

(434) 237-0125

Fax

(434) 237-0498

NPI assigned

Oct 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Shepherd Anders Sittason, D.D.S.

Title

Owner

Phone

(434) 237-0125

Specialties & licenses 1

Addresses

Other names 1

• Children's Dentistry and Orthodontics of Lynchburg Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1356593552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PAULETTE CIRCLE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-237-0125",
            "fax_number": "434-237-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PAULETTE CIRCLE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "telephone_number": "434-237-0125",
            "fax_number": "434-237-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD A SITTASON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "SITTASON",
        "authorized_official_first_name": "SHEPHERD",
        "authorized_official_middle_name": "ANDERS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-237-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "VA",
            "license": "0401411800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dentistry and Orthodontics of Lynchburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Scott Shelley, OTR
• Belva Shelor
• Sheltered Workshop of Altavista
• Pamela S Shelton
• Alyssa H Shepard, PA-C
• David Dixon Shepherd
• Alexander Sher-Jones
• Kenneth A Sherban, M.D.
• Sherman O. Smock DDS PC
• George A Sherman, DO

• Dental Clinic/Center in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Dental Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.