DR. THOMAS LYMAN SITZER (NPI# 1407844780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407844780 |
| Entity Type | Individual |
| Full Name | DR. THOMAS LYMAN SITZER |
| Credential | DDS |
| Practice Address |
2112 Viking Dr Nw Valhalla Dental Building Rochester MN 55901-3522 |
| Practice Telephone | 5072880102 |
| Practice Fax Number | 5072882243 |
| Mailing Telephone | 5072880102 |
| Mailing Fax Number | 5072882243 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2011-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5000465-015 | WI | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7249 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE CROSS # | 39677SI | 01 |
| MN | 779815600 | 05 |
| Street Address |
2112 VIKING DR NW VALHALLA DENTAL BUILDING |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396278503 | Seong Woo Lee | Dentist | 2112 Viking Dr Nw, Rochester, MN 55901-3522 | 2017-04-05 |
| 1235513755 | Zumbro Family Dental | Dentist | 2112 Viking Dr Nw, Suite G, Rochester, MN 55901-3522 | 2015-07-14 |
| 1730586579 | Advanced Periodontics & Implants Pllc | Dentist | 2112 Viking Dr Nw, Rochester, MN 55901-3522 | 2014-11-21 |
| 1720369812 | Thomas L. Sitzer, D.d.s., P.a. | Dentist | 2112 Viking Dr Nw, Valhalla Dental Building, Rochester, MN 55901-3522 | 2011-09-01 |
| 1629300298 | Marko Kamel Dds Pa | Health Maintenance Organization | 2112 Viking Dr Nw, Suite E, Rochester, MN 55901-3522 | 2010-02-08 |
| 1861693491 | Bryan Mark Recker | Dentist | 2112 Viking Dr Nw, Rochester, MN 55901-3522 | 2007-05-30 |
| 1285786822 | Vincent Monroe Hollaren | Dentist | 2112 Viking Dr Nw, Rochester, MN 55901-3522 | 2007-01-16 |
| 1225196363 | David J. Hagstrom LLC | Dentist | 2112 Viking Dr Nw, Rochester, MN 55901-3522 | 2006-12-04 |
| 1801968839 | Anthony Charles Michelich | Dentist | 2112 Viking Dr Nw, Rochester, MN 55901-3522 | 2006-11-14 |
| 1740359546 | Periodontal Specialists, Pa | Dentist | 2112 Viking Dr Nw, Rochester, MN 55901-3522 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043789639 | Small To Tall, Dentistry for Children, Pllc | Dentist | 3171 Chili Ave Ste 400, Rochester, NY 14624-5440 | 2018-11-13 |
| 1366829541 | Andrew B Winslow | Dentist | 625 Elmwood Ave., Rochester, NY 14620 | 2015-04-27 |
| 1609272822 | Rochester Pediatric Dentistry LLC | Dentist | 1705 S Boradway Ave Ste B, Rochester, MN 55904-7960 | 2014-11-16 |
| 1336427384 | Cynthia Laurel Wong | Dentist | 2400 South Clinton Avenue, Suite 125, Rochester, NY 14620 | 2011-07-25 |
| 1477843936 | Kelly A Jones | Dentist | 1705 Broadway Ave S Ste B, Rochester, MN 55904-7960 | 2011-04-18 |
| 1528267242 | Lindsey Keck | Dentist | 261 Averill Ave, Rochester, NY 14620-1301 | 2007-07-12 |
| 1114076619 | Dentistry for Children and Adolescents, Ltd. | Dentist | 2743 Superior Dr Nw, Rochester, MN 55901-1773 | 2007-01-10 |
| 1376646604 | David P. Durr | Dentist | 2061 Ridge Rd W, Rochester, NY 14626-2782 | 2006-09-05 |
| 1306948443 | Daniel H Glowinsky | Dentist | 3171 Chili Ave, Suite 400, Rochester, NY 14624 | 2006-09-01 |
| 1174638183 | Thomas C Burm Jr. | Dentist | 523 Beahan Rd, Rochester, NY 14624-3403 | 2006-08-20 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.