Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITRA MARVASTI-SITTERLY
Active Sole ProprietorMITRA MARVASTI-SITTERLY is a Pediatric Dentistry healthcare provider located in WEATOGUE, Connecticut. NPI 1154065514 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WEATOGUE, CT
Registration Details
- NPI Number
- 1154065514
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 22, 2022 (4.1684532559708 yrs)
- Last Updated
- Jun 25, 2025
- Licenses
-
DN1859415 (MA)13636 (CT)DN1859415 (MA)13758 (CT)13636 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
381 HOPMEADOW ST STE 202WEATOGUE, CT, 060899697Browse CT providers · Browse ZIP 06089
- Phone
- 8606587548
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- General Dentistry
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.