| Name: | Trussville Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 15 Oct 1987 (37 years ago) |
| Entity Number: | 000-120-040 |
| Register Number: | 000120040 |
| Historical Names: |
Roebuck Dental Center, P.C.
|
| ZIP code: | 35206 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 9166 PARKWAY EASTBIRMINGHAM, AL 35206 |
| Authorized Capital: | $5,000 |
Activities
DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952661225 | 2012-05-21 | 2012-05-21 | 3713 MARY TAYLOR RD, BIRMINGHAM, AL, 352353261, US | 3713 MARY TAYLOR RD, BIRMINGHAM, AL, 352353261, US | |||||||||||||||||
|
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| Phone | +1 205-661-2201 |
| Fax | 2056612331 |
Authorized person
| Name | MRS. VICKI F MOON |
| Role | OFFICE MANAGER |
| Phone | 2056612201 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GAFFORD, NANCY A DMD | Agent |
| Name | Role |
|---|---|
| CORUM, MICHAEL E | Incorporator |
| GAFFORD, NANCY A | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2000-11-02 | Name Change | Roebuck Dental Center, P.C. | Trussville Dentistry, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
