Thomas L. Sitzer, D.D.S., P.a.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7249 Issued in MN

Legal business name

THOMAS L. SITZER, D.D.S., P.A.

Practice address

2112 Viking Dr NW
Valhalla Dental Building
Rochester, MN 55901-3522

Phone

(507) 288-0102

Fax

(507) 288-2243

NPI assigned

Sep 1, 2011

Last updated

Sep 1, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Lyman Sitzer, DDS

Title

Owner

Phone

(507) 288-0102

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314835200000",
    "number": "1720369812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 VIKING DR NW",
            "address_2": "VALHALLA DENTAL BUILDING",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013522",
            "telephone_number": "507-288-0102",
            "fax_number": "507-288-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 VIKING DR NW",
            "address_2": "VALHALLA DENTAL BUILDING",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013522",
            "telephone_number": "507-288-0102",
            "fax_number": "507-288-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS L. SITZER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2011-09-01",
        "status": "A",
        "authorized_official_last_name": "SITZER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LYMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-288-0102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "7249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "39677SI",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "779815600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew J. Thoendel, MD
• McKena Marie Thoennes, PT, DPT
• Madeline Thoma
• Mary D Thoma, PA-C
• Thomas H Haugen DDS PA (Zumbro View Family Dental Care Zumbro View Dental)
• Andrea Thomas, LPCC
• Angela Mary Thomas, MD
• Aubri Anne Marie Thomas
• Brittany Chally Thomas, MS, CGC
• Brittany Lashea Thomas, LICSW

• Pediatric Dentistry in Rochester, MN
• Providers in Rochester, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.