Name: | FAIRHOPE DENTISTRY, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 13 Aug 2012 (12 years ago) |
Date of dissolution: | 18 Aug 2022 |
Entity Number: | 000-073-296 |
Register Number: | 000073296 |
County: | Baldwin |
Place of Formation: | Baldwin County |
Registered Office Street Address: | 10902 US HIGHWAY 98FAIRHOPE, AL 36532 |
Registered Office Street Address ZIP Code: | 36532 |
Authorized Capital: | NOT PROVIDED |
Activities
DENTAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1225376882 | 2013-01-16 | 2013-01-16 | 10939 US HIGHWAY 98, FAIRHOPE, AL, 365325408, US | 10939 US HIGHWAY 98, FAIRHOPE, AL, 365325408, US | |||||||||||||||||||
|
Phone | +1 251-928-9930 |
Fax | 2519289956 |
Authorized person
Name | DR. SLAVOLJUB DJURIC |
Role | PRESIDENT DENTIST |
Phone | 2519289930 |
Taxonomy
Taxonomy Code | 122300000X - Dentist |
License Number | 5894 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
DJURIC, SLAVOLJUB | Agent |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State