# HASHIM J. HASSAN,D.M.D.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114199973
- **Authorized official:** MS. ELISA DONN (MANAGER)
- **Authorized official phone:** (334) 793-9885

## Contact information

- **Practice address:** 1801 W MAIN ST, STE.\#1, DOTHAN, AL 36301-1361
- **Practice address phone:** (334) 793-9885
- **Practice address fax:** (334) 678-7715
- **Mailing address:** 1801 W MAIN ST, STE.\#1, DOTHAN, AL 36301-1361
- **Mailing address phone:** (334) 793-9885
- **Mailing address fax:** (334) 678-7715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 4974 | AL | Yes |

## Other

- **Enumeration date:** 04/01/2008
- **Last updated:** 04/01/2008