| Southside Family Dentistry, Inc. | |
|
1715 11th Ave S Ste C Birmingham AL 35205-4704 | |
| (205) 251-6928 | |
| (205) 251-6968 |
| Full Name | Southside Family Dentistry, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1715 11th Ave S Ste C, Birmingham, Alabama |
| Authorized Official Name and Position | Kuntal S Pandit (OWNER) |
| Authorized Official Contact | 2052516928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Family Dentistry, Inc. 1715 11th Ave S Ste C Birmingham AL 35205-4704 Ph: (205) 251-6928 | Southside Family Dentistry, Inc. 1715 11th Ave S Ste C Birmingham AL 35205-4704 Ph: (205) 251-6928 |
| NPI Number | 1467663401 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 11/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467663401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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