Provider Demographics
NPI:1437417227
Name:ADSITT, SUNNIE F (DDS)
Entity type:Individual
Prefix:DR
First Name:SUNNIE
Middle Name:F
Last Name:ADSITT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2960 SNELLING AVE N
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-2458
Mailing Address - Country:US
Mailing Address - Phone:651-636-5033
Mailing Address - Fax:651-636-5053
Practice Address - Street 1:2960 SNELLING AVE N
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-2458
Practice Address - Country:US
Practice Address - Phone:651-636-5033
Practice Address - Fax:651-636-5053
Is Sole Proprietor?:No
Enumeration Date:2012-04-30
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND13085122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist