| Name: | Orthodontics South, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 Jul 2000 (24 years ago) |
| Entity Number: | 000-211-169 |
| Register Number: | 000211169 |
| ZIP code: | 35124 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | PELHAM, AL |
| Registered Office Street Address: | 2655 PELHAM PARKWAYPELHAM, AL 35124 |
| Authorized Capital: | $1 |
Activities
PRACTICE OF DENTISTRY/ORAL SURGERY/PERIODONTIA/ORTHODONTIA
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871145219 | 2019-07-16 | 2019-07-16 | 2705 PELHAM PKWY STE 200, PELHAM, AL, 351241704, US | 2705 PELHAM PKWY STE 200, PELHAM, AL, 351241704, US | |||||||||||||
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| Phone | +1 205-664-4140 |
Authorized person
| Name | BRANDON BOGGAN |
| Role | OWNER/PRESIDENT/ORTHODONTIST |
| Phone | 2056644140 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOGGAN, BRANDON | Agent | 2104 SWAN LAKE COVEBIRMINGHAM, AL 35242 |
| Name | Role | Address |
|---|---|---|
| BOGGAN, BRANDON | Incorporator | 2104 SWAN LAKE COVEBIRMINGHAM, AL 35242 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
