| Name: | Oral and Maxillofacial Surgery Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 01 Jul 1996 (29 years ago) |
| Entity Number: | 000-180-731 |
| Register Number: | 000180731 |
| Historical Names: |
David A Lairmore, D.D.S., M.D., P.C.
|
| ZIP code: | 36652 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 1 ST LOUIS CENTRE STE 1000MOBILE, AL 36652 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | -- |
Activities
MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043311392 | 2006-09-26 | 2022-07-21 | 7200 HALCYON SUMMIT DRIVE, MONTGOMERY, AL, 361177047, US | 7200 HALCYON SUMMIT DRIVE, MONTGOMERY, AL, 361177047, US | |||||||||||||||||||||
|
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| Phone | +1 334-277-3492 |
| Fax | 3342779432 |
Authorized person
| Name | MRS. DINAH S BURROWS |
| Role | BUSINESS MANAGER |
| Phone | 3342773492 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529100290 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| JUSTICE, SHIRLEY M | Agent | ONE ST. LOUIS CENTRE, SUITE 1000MOBILE, AL 36602-3960 |
| Name | Role |
|---|---|
| LAIRMORE, DAVID A | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1996-10-07 | Name Change | David A Lairmore, D.D.S., M.D., P.C. | Oral and Maxillofacial Surgery Associates, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
