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LTC Dental PC

Details

Name: LTC Dental PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 24 Jan 2012 (13 years ago) (Companies founded in January 2012)
Entity Number: 000-038-252
Register Number: 000038252
Historical Names: Healthy Seniors Dental Alabama PC
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 22217 N FREEMONTPHOENIX, AZ 85050
Registered Office Street Address: 2 NORTH JACKSON ST STE 605MONTGOMERY, AL 36104
Authorized Capital: 1000 @ $.001 PV

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1780917005 2009-09-18 2016-02-23 19820 N 7TH ST, SUITE 290, PHOENIX, AZ, 850241689, US 2000 SOUTHLAKE PARK, SUITE 250, HOOVER, AL, 352443616, US

Contacts

Phone +1 877-929-0030
Fax 8779290031
Phone +1 205-278-3316
Fax 6233216268

Authorized person

Name DAVID COWAN
Role OWNER/PRESIDENT
Phone 2056555144

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Director

Name Role Address
COWAN, DAVID W. Director 2000 SOUTHLAKE PARK SUITE 250HOOVER, AL 35244

Incorporator

Name Role Address
GOLDSMITH, WALTER J Incorporator 1867 GOLF RIDGE DRBLOOMFIELD HILLS, MI 48302

Events

Event Date Event Type Old Value New Value
2012-11-07 Name Change Healthy Seniors Dental Alabama PC LTC Dental PC

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State