Healthcare Provider Details

I. General information

NPI: 1689591927
Provider Name (Legal Business Name): CHRISTINA SITTO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15055 22 MILE RD STE 2
SHELBY TWP MI
48315-4401
US

IV. Provider business mailing address

6789 MERRICK DR
TROY MI
48098-1761
US

V. Phone/Fax

Practice location:
  • Phone: 586-247-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2901603134
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: