NPI 1407808868

Somsak Sittitavornwong, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Birmingham, AL

Practice location

Address: 619 19th Street South, Birmingham, AL 35233
Phone: (205) 934-4011
Mailing address: PO Box 55310, Birmingham, AL 35255-5310

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence D5778 (AL)

Other Oral & Maxillofacial Surgery providers in Alabama →

Registry record

NPI: 1407808868
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 May 2006
Record last updated: 26 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.