| Name: | Dental Associates of East Montgomery, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 Apr 1991 (34 years ago) |
| Entity Number: | 000-142-984 |
| Register Number: | 000142984 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 210 WINTON BLOUNT LOOPMONTGOMERY, AL 36117 |
| Registered Office Street Address ZIP Code: | 36117 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548698004 | 2013-10-21 | 2013-10-21 | 210 WINTON M BLOUNT LOOP, MONTGOMERY, AL, 361173501, US | 210 WINTON M BLOUNT LOOP, MONTGOMERY, AL, 361173501, US | |||||||||||||||||||||||||||
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| Phone | +1 334-272-1677 |
| Fax | 3342728385 |
Authorized person
| Name | DR. BILLY FRANKLIN FOXWORTH JR. |
| Role | PRESIDENT |
| Phone | 3342721677 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 2341 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 1223P0700X - Prosthodontist |
| License Number | 4374 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FOXWORTH, BILLY F JR | Agent |
| Name | Role |
|---|---|
| BLACKMON, WILLIAM L JR | Incorporator |
| CONOLY, L LEE | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
