| Name: | Dentistry for Children, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 27 Mar 2009 (16 years ago) |
| Entity Number: | 000-260-461 |
| Register Number: | 000260461 |
| ZIP code: | 36117 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 7047 HALCYON SUMMIT DRIVEMONTGOMERY, AL 36117 |
| Authorized Capital: | $500 |
Activities
PEDIATRIC DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275769986 | 2009-06-09 | 2009-06-09 | 5833 CARMICHAEL RD, MONTGOMERY, AL, 361172329, US | 5833 CARMICHAEL RD, MONTGOMERY, AL, 36117, US | |||||||||||||||||||||
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| Phone | +1 334-277-6830 |
| Fax | 3342702073 |
Authorized person
| Name | DR. JULIA E ISHERWOOD |
| Role | OFFICER OWNER |
| Phone | 3342776830 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 528302460 |
| State | AL |
| Name | Role |
|---|---|
| ISHERWOOD, JULIA E | Agent |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, M COURTNEY | Incorporator | PO BOX 2069MONTGOMERY, AL 36102-2069 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9140688510 | 2021-03-12 | 0459 | PPS | 7047 Halcyon Summit Dr, Montgomery, AL, 36117-6927 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
