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Dr. Robert K. Rudolph, D.M.D., P.C.

Details

Name: Dr. Robert K. Rudolph, D.M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 26 Jun 2002 (23 years ago)
Entity Number: 000-223-704
Register Number: 000223704
ZIP code: 35209
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 1754 OXMOOR RDBIRMINGHAM, AL 35209
Authorized Capital: $1,000

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568672749 2007-05-23 2020-08-22 1754 OXMOOR RD, HOMEWOOD, AL, 352094056, US 1754 OXMOOR RD, HOMEWOOD, AL, 352094056, US

Contacts

Phone +1 205-870-0280
Fax 2058700285

Authorized person

Name DR. ROBERT K. RUDOLPH
Role PRESIDENT
Phone 2058700280

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5125
State AL
Is Primary Yes

Incorporator

Name Role
RUDOLPH, ROBERT K Incorporator

Agent

Name Role
RUDOLPH, ROBERT K Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State