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FAIRHOPE DENTISTRY, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
DJURIC, SLAVOLJUB Agent

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State