Mitra Marvasti-Sitterly
Dentist, Pediatric Dentistry in Weatogue, Connecticut
1154065514- Practice location
- 381 Hopmeadow St Ste 202, Weatogue, CT 06089-9697
- Phone
- 860-658-7548
- Fax
- —
- Last updated
- June 25, 2025
Mitra Marvasti-Sitterly is a Dentist, Pediatric Dentistry based in Weatogue, CT. Mitra Marvasti-Sitterly practices in Weatogue, CT. The NPI Number for Mitra Marvasti-Sitterly is 1154065514 and holds a License No. DN1859415 (MA). The current practice location address for Mitra Marvasti-Sitterly is 381 Hopmeadow St Ste 202, Weatogue, CT 06089-9697 and can be reached out via phone at 860-658-7548.
Provider Profile Details
- NPI Number
- 1154065514
- Provider Name
- Mitra Marvasti-Sitterly
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 381 Hopmeadow St Ste 202, Weatogue, CT 06089-9697
- Phone Number
- 860-658-7548
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 22, 2022
- Last Update Date
- June 25, 2025
- Certification Date
- June 25, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 381 Hopmeadow St Ste 202
Weatogue, CT 06089-9697 - City
- Weatogue
- State
- Connecticut
- Zip
- 06089-9697
- Phone Number
- 860-658-7548
Provider Business Mailing Address Details
- Address
- 181 Partridge Lndg
Glastonbury, CT 06033-2849 - City
- Glastonbury
- State
- CT
- Zip
- 06033-2849
- Phone Number
- 860-692-8127
License Information
- License Number (1)
- DN1859415
- License State (1)
- MA
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 13636
- License State (2)
- CT
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- License Number (3)
- DN1859415
- License State (3)
- MA
- Taxonomy (3)
- Dentist, Pediatric Dentistry · 1223P0221X
- License Number (4)
- 13758
- License State (4)
- CT
- Taxonomy (4)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (5)
- 13636
- License State (5)
- CT
- Taxonomy (5)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Weatogue, CT
View all Dentist, Pediatric Dentistry providers in Weatogue →Frequently Asked Questions
What is the NPI number of Mitra Marvasti-Sitterly?
The NPI number of Mitra Marvasti-Sitterly is 1154065514. It was assigned on April 22, 2022 and is currently active in the NPPES registry.
What is the specialty of Mitra Marvasti-Sitterly?
Mitra Marvasti-Sitterly is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number DN1859415.
Where does Mitra Marvasti-Sitterly practice?
The practice location is 381 Hopmeadow St Ste 202, Weatogue, CT 06089-9697. The office can be reached at 860-658-7548 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154065514 directly on the NPPES registry website.