Individual
DR. SHIVANI K PANDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
28425 STATE HIGHWAY 75, ONEONTA, AL 35121-1657
(205) 625-4384
(205) 625-4737
Mailing address
28425 STATE HIGHWAY 75, ONEONTA, AL 35121-1657
(205) 625-4384
(205) 625-4737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4537
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009927915
—
AL
01
—
353978
COMPBENEFITS FACILITY #
AL
01
—
4537
STATE LICENCE #
AL
01
—
51077758
BLUE CROSS PROVIDER #
AL
05
—
529916600
—
AL
01
—
577227
UNITED CORCORDIA PROVIDER
AL
Enumeration date
09/14/2006
Last updated
06/17/2013
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