| Name: | Andrew J. Carter, D.D.S., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 04 May 1976 (48 years ago) |
| Date of dissolution: | 19 Jul 2010 |
| Entity Number: | 000-041-413 |
| Register Number: | 000041413 |
| Historical Names: |
Welden & Carter, Professional Corporation
|
| Place of Formation: | Houston County |
| Principal Address: | DOTHAN, AL |
| Authorized Capital: | $1,350 |
| Paid Share Capital: | $1,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659452480 | 2006-10-18 | 2020-08-22 | 206 EXECUTIVE PARK DRIVE, DOTHAN, AL, 36303, US | 206 EXECUTIVE PARK DRIVE, DOTHAN, AL, 36303, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 334-792-5124 |
| Fax | 3347932049 |
Authorized person
| Name | DR. ANDREW JOEL CARTER |
| Role | PRESIDENT DOCTOR |
| Phone | 3347925124 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| License Number | 3090 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | 3090 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 91054 |
| Issuer | DELTA DENTAL |
| Number | 3090 |
| Issuer | UNITED CORCORDIA |
| Number | 619800 |
| Name | Role |
|---|---|
| WELDEN, JAMES M | Incorporator |
| CARTER, ANDREW J | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1985-12-05 | Name Change | Welden & Carter, Professional Corporation | Andrew J. Carter, D.D.S., P.C. |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
