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Alabama Dental Professionals, P.C.

Details

Name: Alabama Dental Professionals, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Nov 2014 (10 years ago)
Entity Number: 000-322-751
Register Number: 000322751
ZIP code: 36104
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104
Principal Address: 150 SOUTH PERRY STREETMONTGOMERY, AL 36104
Authorized Capital: 3000

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841039112 2024-05-24 2024-05-24 1290 GRANTS MILL RD STE 114, IRONDALE, AL, 352102268, US 1290 GRANTS MILL RD STE 114, IRONDALE, AL, 352102268, US

Contacts

Phone +1 205-905-8845
Fax 2059058847

Authorized person

Name CEMYIRA MCDOUGAL
Role CREDENTIALING COORDINATOR
Phone 2177648609

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Director

Name Role Address
BRUNI, ANDRE Director 1200 NETWORK CENTRE DRIVEEFFINGHAM, IL 62401

Incorporator

Name Role Address
METTE, KRISTA Incorporator 1200 NETWORK CENTRE DRIVEEFFINGHAM, IL 62401

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State