Provider Demographics
NPI:1861588501
Name:SITZES, LESTER MILAM III (DDS)
Entity type:Individual
Prefix:DR
First Name:LESTER
Middle Name:MILAM
Last Name:SITZES
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71801-8117
Mailing Address - Country:US
Mailing Address - Phone:870-777-4466
Mailing Address - Fax:870-777-0718
Practice Address - Street 1:1819 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-8117
Practice Address - Country:US
Practice Address - Phone:870-777-4466
Practice Address - Fax:870-777-0718
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR23591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice