Healthcare Provider Details

I. General information

NPI: 1548217649
Provider Name (Legal Business Name): H. PAUL HUFHAM III D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MR. H. PAUL HUFHAM III

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2826 ROSS CLARK CIR STE 305
DOTHAN AL
36301-2017
US

IV. Provider business mailing address

201 HAZELWOOD AVE
DOTHAN AL
36303-3853
US

V. Phone/Fax

Practice location:
  • Phone: 334-305-3290
  • Fax:
Mailing address:
  • Phone: 334-596-2012
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberT-000432
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: