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Colonnade Dental, P.C.

Details

Name: Colonnade Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 08 Feb 2024 (a year ago)
Entity Number: 001-120-306
Register Number: 001120306
ZIP code: 35243
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 1025 23rd Street South, Suite 103Birmingham, AL 35205
Principal Address: 3419 Colonnade PkwyBirmingham, AL 35243
Authorized Capital: 1
Paid Share Capital: 1,000

Activities practice of dentistry

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154165983 2024-06-25 2024-06-25 3419 COLONNADE PKWY STE 700, BIRMINGHAM, AL, 352433319, US 3419 COLONNADE PKWY STE 700, BIRMINGHAM, AL, 352433319, US

Contacts

Phone +1 205-967-9100

Authorized person

Name ANTHONY DUGINS ENGLE
Role OWNER/DENTIST
Phone 2059679100

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
David C. Skinner, L.L.C. Agent

Incorporator

Name Role Address
Engle, Anthony D Incorporator 3419 Colonnade PkwyBirmingham, AL 35243

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State