SOMSAK SITTITAVORNWONG, DDS BIRMINGHAM, AL

Contact Information

SOMSAK SITTITAVORNWONG, DDS

619 19TH STREET SOUTH
BIRMINGHAM, AL 35233

Phone: 205-934-4011
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for SOMSAK SITTITAVORNWONG · (Male)

NPI Number	`1407808868`
Status	Active
Credentials	DDS (Doctor of Dental Surgery)
Entity	Individual
Enumeration date	05/16/2006
Last updated	02/26/2020 - About 6 years ago
Sole proprietor ¹	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(s)	UNIVERSITY OF ALABAMA HOSPITAL - (Acute Care) 619 SOUTH 19TH STREET BIRMINGHAM, AL 35233

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

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for SOMSAK SITTITAVORNWONG · (Male)

Reviews for SOMSAK SITTITAVORNWONG

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