Provider Demographics
NPI:1619700911
Name:PINHEIRO FERREIRA, THALYTA AMANDA (DDS)
Entity type:Individual
Prefix:DR
First Name:THALYTA
Middle Name:AMANDA
Last Name:PINHEIRO FERREIRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 7TH AVENUE SOUTH SDB 315
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-0007
Mailing Address - Country:US
Mailing Address - Phone:205-934-4546
Mailing Address - Fax:205-975-4431
Practice Address - Street 1:1919 7TH AVE S # SDB315
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-2005
Practice Address - Country:US
Practice Address - Phone:205-934-4546
Practice Address - Fax:205-975-4431
Is Sole Proprietor?:No
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program