| Name: | K. Michelle Maldon, DMD, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 May 2012 (12 years ago) |
| Entity Number: | 000-035-800 |
| Register Number: | 000035800 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 2001 PARK PLACE STE 835BIRMINGHAM, AL 35203 |
| Principal Address ZIP Code: | 35203 |
| Principal Mailing Address: | 1116 20TH ST SOUTH #324BIRMINGHAM, AL 35203 |
| Principal Mailing Address ZIP Code: | 35203 |
Activities
PROVIDE DENTAL CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326397381 | 2012-09-06 | 2013-05-28 | 2001 PARK PL, 835, BIRMINGHAM, AL, 352032735, US | 2001 PARK PL, 835, BIRMINGHAM, AL, 352032735, US | |||||||||||||||||||
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| Phone | +1 205-323-0454 |
| Fax | 2053230458 |
Authorized person
| Name | DR. KIMBERLY MICHELLE MALDON |
| Role | OWNER |
| Phone | 2053230454 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5722 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MALDON, K M | Agent | 1116 20TH ST SOUTH #324BIRMINGHAM, AL 35205 |
| Name | Role | Address |
|---|---|---|
| MALDON, K MICHELLE | Director | 1116 20TH ST SOUTH #324BIRMINGHAM, AL 35205 |
| Name | Role | Address |
|---|---|---|
| MALDON, K M | Incorporator | 1116 20TH ST SOUTH #324BIRMINGHAM, AL 35205 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
