National Provider Identifier Database

SOMSAK SITTITAVORNWONG, DDS – NPI #1407808868
Oral & Maxillofacial Surgery

Contact Information

SOMSAK SITTITAVORNWONG, DDS
619 19TH STREET SOUTH
BIRMINGHAM, AL  35233
Phone: 205-934-4011
Fax:
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X

* Indicates primary specialty

NPI Profile & details for SOMSAK SITTITAVORNWONG

NPI Number 1407808868
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/16/2006
Last updated 02/26/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • AL License #: D5778
  • AL Medicaid: 009910983
  • AL Medicaid: 009910984
  • AL Medicaid: 009910986
  • AL Medicaid: 009910988
  • AL Other: 051542567 BCBS
  • AL Other: 051542572 BCBS
  • AL Other: 051542573 BCBS
  • AL Other: 051542574 BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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