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
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Name | Role | Address |
---|---|---|
BRUNI, ANDRE | Director | 1200 NETWORK CENTRE DRIVEEFFINGHAM, IL 62401 |
Name | Role | Address |
---|---|---|
METTE, KRISTA | Incorporator | 1200 NETWORK CENTRE DRIVEEFFINGHAM, IL 62401 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State