Search icon

Central Park Dental Care, P.C.

Details

Name: Central Park Dental Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 05 May 1988 (37 years ago) (Companies founded in May 1988)
Entity Number: 000-123-832
Register Number: 000123832
Historical Names: Flint's Crossing Dental Care, P.C.
ZIP code: 36830 (Companies in Lee, 36830)
County: Lee
Place of Formation: Lee County
Principal Address: AUBURN, AL
Registered Office Street Address: 792 N DEAN RDAUBURN, AL 36830
Authorized Capital: $1,000
Paid Share Capital: $1,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114031135 2006-08-18 2020-08-22 792 NORTH DEAN ROAD, AUBURN, AL, 36830, US 792 NORTH DEAN ROAD, AUBURN, AL, 36830, US

Contacts

Phone +1 334-821-8755
Fax 3348219526

Authorized person

Name MRS. DRU HOPE WASHBURN
Role OFFICE MANAGER
Phone 3348218755

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 4053AL
State AL
Is Primary No
Taxonomy Code 122300000X - Dentist
License Number 5247AL
State AL
Is Primary Yes
Taxonomy Code 122300000X - Dentist
License Number ETD0007
State AL
Is Primary No
Taxonomy Code 122300000X - Dentist
License Number 5477
State AL
Is Primary No

Agent

Name Role
SUMMERFORD, MARK Agent

Incorporator

Name Role Address
HOWELL, REX A Incorporator 1277 SHADOW PLACEAUBURN, AL 36879
HOWELL, WANDA R Incorporator No data

Events

Event Date Event Type Old Value New Value
2003-09-18 Name Change Flint's Crossing Dental Care, P.C. Central Park Dental Care, P.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State