Healthcare Provider Details

I. General information

NPI: 1740366053
Provider Name (Legal Business Name): DAVID CARL HUFHAM D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 EUCLID AVE
BIRMINGHAM AL
35213-2952
US

IV. Provider business mailing address

120 EUCLID AVE
BIRMINGHAM AL
35213-2952
US

V. Phone/Fax

Practice location:
  • Phone: 205-871-8881
  • Fax: 205-871-8828
Mailing address:
  • Phone: 205-871-8881
  • Fax: 205-871-8828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number5001
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: