| Name: | Ronald E. Brown, D. D. S., P. C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 29 Feb 1980 (45 years ago) |
| Date of dissolution: | 01 May 2024 |
| Entity Number: | 000-060-335 |
| Register Number: | 000060335 |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
DENTAL AND ORTHODONTIC SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023284932 | 2008-05-01 | 2008-05-01 | 2026 6TH AVE SE, DECATUR, AL, 356016557, US | 2026 6TH AVE SE, DECATUR, AL, 356016557, US | |||||||||||||||||||||||||
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| Phone | +1 256-350-1347 |
| Fax | 2563501386 |
Authorized person
| Name | DR. RONALD EDWARD BROWN |
| Role | PRESIDENT |
| Phone | 2563501347 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | 3318 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | TENNCARE |
| Number | 0018196 |
| State | TN |
| Name | Role |
|---|---|
| BROWN, RONALD E | Incorporator |
| BROWN, SUSAN H | Incorporator |
| RICE, JANICE C | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
