Provider Demographics
NPI:1417299082
Name:HARRELL, CLAUDE DOUGLAS III (DMD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDE
Middle Name:DOUGLAS
Last Name:HARRELL
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71A N SECTION ST
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2215
Mailing Address - Country:US
Mailing Address - Phone:251-928-1852
Mailing Address - Fax:251-928-8229
Practice Address - Street 1:71A N SECTION ST
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2215
Practice Address - Country:US
Practice Address - Phone:251-928-1852
Practice Address - Fax:251-928-8229
Is Sole Proprietor?:No
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4512122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist