| Name: | Jennifer Morrissey-Patton, DMD, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 26 Nov 2003 (21 years ago) |
| Entity Number: | 000-232-230 |
| Register Number: | 000232230 |
| Historical Names: |
Jennifer Morrisey-Patton, DMD, P.C.
|
| ZIP code: | 35244 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | HOOVER, AL |
| Registered Office Street Address: | 425 EMERY DRHOOVER, AL 35244 |
| Authorized Capital: | $1,000 |
Activities
DENTISTRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053335687 | 2006-07-27 | 2020-08-22 | 425 EMERY DR, HOOVER, AL, 352444567, US | 425 EMERY DR, HOOVER, AL, 352444567, US | |||||||||||||||||||||||||||||||
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| Phone | +1 205-989-8480 |
| Fax | 2059898931 |
Authorized person
| Name | DR. JENNIFER MARIE MORRISSEY-PATTON |
| Role | PRESIDENT |
| Phone | 2059898480 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | AL5055 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | 88446 |
| Number | UNITED CONCORDIA |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 19358 |
| State | AL |
| Name | Role |
|---|---|
| MORRISSEY-PATTON, JENNIFER | Agent |
| Name | Role |
|---|---|
| PETERSON, DONNA | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2003-12-10 | Name Change | Jennifer Morrisey-Patton, DMD, P.C. | Jennifer Morrissey-Patton, DMD, P.C. |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2151688405 | 2021-02-03 | 0459 | PPS | 425 Emery Dr, Hoover, AL, 35244-4567 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
