| Name: | Grace Comprehensive Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 28 Jun 2011 (13 years ago) |
| Entity Number: | 000-018-121 |
| Register Number: | 000018121 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2045 BROOKWOOD MEDICAL CTR DR STE 6BIRMINGHAM, AL 35209 |
| Registered Office Street Address ZIP Code: | 35209 |
| Authorized Capital: | 1,000 @ $1 PV |
Activities
PRACTICE OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982991790 | 2011-06-30 | 2013-10-01 | PO BOX 660805, BIRMINGHAM, AL, 352660805, US | 1932 LAUREL RD, SUITE 1A, VESTAVIA, AL, 352161859, US | |||||||||||||||||
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| Phone | +1 205-871-1229 |
Authorized person
| Name | DR. VICTOR KYATT III |
| Role | PRESIDENT |
| Phone | 2058711229 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 5261 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KYATT, VICTOR F III | Agent | 2045 BROOKWOOD MEDICAL CTR DR STE 6BIRMINGHAM, AL 35209 |
| Name | Role | Address |
|---|---|---|
| KYATT, VICTOR F III | Director | 2045 BROOKWOOD MEDICAL CTR DR STE 6BIRMINGHAM, AL 35209 |
| Name | Role | Address |
|---|---|---|
| KYATT, VICTOR F III | Incorporator | 2045 BROOKWOOD MEDICAL CTR DR STE 6BIRMINGHAM, AL 35209 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
