Provider Demographics
NPI:1295950038
Name:DAVID J. FURMAN, DDS, PA
Entity type:Organization
Organization Name:DAVID J. FURMAN, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:FURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:256-882-1700
Mailing Address - Street 1:500 WHITESPORT DR SW
Mailing Address - Street 2:SUITE # 1
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6451
Mailing Address - Country:US
Mailing Address - Phone:256-882-1700
Mailing Address - Fax:256-882-1727
Practice Address - Street 1:500 WHITESPORT DR SW
Practice Address - Street 2:SUITE # 1
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6451
Practice Address - Country:US
Practice Address - Phone:256-882-1700
Practice Address - Fax:256-882-1727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL31651223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALT6870Medicare UPIN