Provider Demographics
NPI:1982094090
Name:DAVID C. HUFHAM, DMD, PC
Entity Type:Organization
Organization Name:DAVID C. HUFHAM, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:HUFHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-871-8881
Mailing Address - Street 1:120 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35213-2952
Mailing Address - Country:US
Mailing Address - Phone:205-871-8881
Mailing Address - Fax:205-871-8828
Practice Address - Street 1:120 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35213-2952
Practice Address - Country:US
Practice Address - Phone:205-871-8881
Practice Address - Fax:205-871-8828
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL50011223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty