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SOMSAK SITTITAVORNWONG DDS NPI 1407808868


NPI Information

NPI: 1407808868
Provider Name: SOMSAK SITTITAVORNWONG, DDS
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-4011
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Somsak Sittitavornwong, DDS is an oral maxillofacial surgery in Birmingham, AL with 32 years of experience. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. Somsak Sittitavornwong, DDS NPI is 1407808868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

619 19TH STREET SOUTH
BIRMINGHAM, AL
ZIP 35233
Phone: (205) 934-4011

The NPI 1407808868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray imaging of teeth (HCPCS:70355)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 2/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204E00000XOral & Maxillofacial SurgeryD5778ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1051542567OTHERALABAMABCBS
2009910986MEDICAIDALABAMA
3051542573OTHERALABAMABCBS
4009910983MEDICAIDALABAMA
5009910984MEDICAIDALABAMA
6009910988MEDICAIDALABAMA
7051542572OTHERALABAMABCBS
8051542574OTHERALABAMABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.