| Name: | Dandridge Dental P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 05 Jul 2011 (13 years ago) |
| Entity Number: | 000-018-436 |
| Register Number: | 000018436 |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | 1435 ROSS CLARK CIRCLE STE A1DOTHAN, AL 36301 |
| Principal Address ZIP Code: | 36301 |
| Principal Mailing Address: | 116 MONTROSE COURT #86DOTHAN, AL 36305 |
| Principal Mailing Address ZIP Code: | 36305 |
| Registered Office Street Address: | 1521 WEST MAIN STREETDOTHAN, AL 36303 |
| Registered Office Street Address ZIP Code: | 36303 |
| Authorized Capital: | 1,000 @ $.01 PV |
Activities
DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962793893 | 2011-04-26 | 2011-04-26 | 1435 ROSS CLARK CIR, SUITE A-1, DOTHAN, AL, 363014744, US | 1435 ROSS CLARK CIR, SUITE A-1, DOTHAN, AL, 363014744, US | |||||||||||||||||||
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| Phone | +1 334-699-2220 |
| Fax | 3346992223 |
Authorized person
| Name | DR. MICHELLE NICOLE DANDRIDGE |
| Role | OWNER |
| Phone | 3346992220 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| License Number | 5492 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| EBERHART, RHONDA | Agent |
| Name | Role | Address |
|---|---|---|
| DANDRIDGE, MICHELLE | Director | 1435 ROSS CLARK CIRCLE STE A1DOTHAN, AL 36301 |
| DANDRIDGE, TERRYNCE | Director | 1435 ROSS CLARK CIRCLE STE A1DOTHAN, AL 36301 |
| Name | Role | Address |
|---|---|---|
| CORBIN, NAMHA B | Incorporator | 6225 SMITH AVENUEBALTIMORE, MD 21209 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
