| Name: | West Princeton Dental Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 06 May 1988 (37 years ago) (Companies founded in May 1988) |
| Entity Number: | 000-123-881 |
| Register Number: | 000123881 |
| ZIP code: | 35211 (Companies in Jefferson, 35211) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 515 8TH PL, SWBIRMINGHAM, AL 35211 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639363955 | 2007-08-29 | 2007-08-29 | 859 LOMB AVE SW, BIRMINGHAM, AL, 352111257, US | 859 LOMB AVE SW, BIRMINGHAM, AL, 352111257, US | |||||||||||||||||||
|
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| Phone | +1 205-788-2124 |
Authorized person
| Name | MRS. PAMELA JACKSON BUTLER |
| Role | OFFICE MANAGER |
| Phone | 2057882124 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI NUMBER |
| Number | 1700-9799-94 |
| State | AL |
| Name | Role |
|---|---|
| JACKSON, ADOLPHUS M | Agent |
| Name | Role |
|---|---|
| JACKSON, ADOLPHUS M | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
