| Name: | Walter P. Vickers, Jr., DMD, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 08 Sep 2004 (20 years ago) |
| Entity Number: | 000-237-257 |
| Register Number: | 000237257 |
| ZIP code: | 36609 |
| County: | Mobile |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 515 AZALEA RDMOBILE, AL 36609 |
| Authorized Capital: | $100 |
Activities
DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144056409 | 2024-09-12 | 2024-09-18 | 1200 MONTLIMAR DR, MOBILE, AL, 366091711, US | 1200 MONTLIMAR DR, MOBILE, AL, 366091711, US | |||||||||||||||
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| Phone | +1 251-342-0380 |
| Fax | 2513440360 |
Authorized person
| Name | DR. WALT P VICKERS JR. |
| Role | OWNER |
| Phone | 2513420380 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VICKERS, WALTER P JR | Incorporator | 5690 RIVERVIEW PLANTATION DRTHEODORE, AL 36582 |
| Name | Role |
|---|---|
| VICKERS, WALTER P | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
