| Name: | Hannahan Endodontic Group, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 22 Dec 1972 (52 years ago) (Companies founded in December 1972) |
| Entity Number: | 000-053-652 |
| Register Number: | 000053652 |
| Historical Names: |
R. P. Hannahan, D.M.D., P.C.
|
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922567692 | 2019-03-13 | 2019-03-13 | 3602B OLD SHELL RD, MOBILE, AL, 366081307, US | 3602B OLD SHELL RD, MOBILE, AL, 366081307, US | |||||||||||||||||||||||||
|
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| Phone | +1 251-342-1002 |
| Fax | 2513421058 |
Authorized person
| Name | CINDY NORDEN |
| Role | OFFICE MANAGER |
| Phone | 2513421002 |
Taxonomy
| Taxonomy Code | 1223E0200X - Endodontist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD OF ALABAMA |
| Number | 51091426 |
| State | AL |
| Issuer | UNITED CONCORDIA |
| Number | 855939 |
| Name | Role |
|---|---|
| HANNAHAN, RICHARD P DMD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1993-12-01 | Name Change | R. P. Hannahan, D.M.D., P.C. | Hannahan Endodontic Group, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
