Somsak Sittitavornwong
Oral & Maxillofacial Surgeon
619 19th Street South
Birmingham
, Alabama 35233
Somsak Sittitavornwong
Oral & Maxillofacial Surgeon
619 19th Street South
Birmingham
, Alabama 35233
(205) 731-9701
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Somsak Sittitavornwong
- Po Box 55310
- Birmingham, AL
- Zip : 35255-5310
- Phone : (205) 731-9701
Second Address
- Somsak Sittitavornwong
- 619 19th Street South
- Birmingham, AL
- Zip : 35233
- Phone : (205) 934-4011
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What is Somsak Sittitavornwong ’s gender?
Is Somsak Sittitavornwong a sole practitioner?
Is Somsak Sittitavornwong accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | D5778 | AL |
National Provider Identifier
| NPI | 1407808868 |
|---|---|
| Provider Name | Somsak Sittitavornwong |
| First Address | Birmingham, AL 35255-5310 |
| Second Address | Birmingham, AL 35233 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2006 |
| Last Update Date | 26/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009910983 | (05) | AL |
| 009910984 | (05) | AL |
| 009910986 | (05) | AL |
| 009910988 | (05) | AL |
| 051542567 | BCBS (01) | AL |
| 051542572 | BCBS (01) | AL |
| 051542573 | BCBS (01) | AL |
| 051542574 | BCBS (01) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.