| Name: | WASHBURN FAMILY DENTAL CARE, INC. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 28 Dec 2010 (14 years ago) |
| Entity Number: | 000-266-095 |
| Register Number: | 000266095 |
| ZIP code: | 36804 |
| County: | Lee |
| Place of Formation: | Lee County |
| Principal Address: | OPELIKA, AL |
| Registered Office Street Address: | 8403 WESTMINSTER COURTOPELIKA, AL 36804 |
| Authorized Capital: | $1,000 |
Activities
PROFESSIONAL PRACTICE OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487189528 | 2017-04-26 | 2017-04-26 | 2164 MOORES MILL RD, AUBURN, AL, 368308447, US | 2164 MOORES MILL RD, AUBURN, AL, 368308447, US | |||||||||||||||||||||||||||
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| Phone | +1 334-750-5720 |
| Fax | 3342090515 |
Authorized person
| Name | DR. ERNEST JASON WASHBURN |
| Role | DOCTOR/OWNER |
| Phone | 3347505720 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 5247 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 122300000X - Dentist |
| License Number | 5120 |
| State | AL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WASHBURN, E JASON | Agent | 8403 WESTMINSTER COURTOPELIKA, AL 36804 |
| Name | Role | Address |
|---|---|---|
| WASHBURN, E JASON | Incorporator | 8403 WESTMINSTER COURTOPELIKA, AL 36804 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-04-12 | Name Merged | No data | Donaldson Family Dentistry, P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
