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Dothan Endodontic Associates, P.C.

Details

Name: Dothan Endodontic Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 Jul 1991 (33 years ago)
Entity Number: 000-144-477
Register Number: 000144477
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 1507G WEST MAIN STREETDOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301
Authorized Capital: $1,200

Activities MEDICAL SPECIALTY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013696202 2023-07-14 2023-07-14 220 HEALTHWEST DR STE 1, DOTHAN, AL, 363032047, US 220 HEALTHWEST DR STE 1, DOTHAN, AL, 363032047, US

Contacts

Phone +1 334-793-7687

Authorized person

Name MALLORY PRICE
Role PRACTICE SUPPORT COORDINATOR
Phone 2514224361

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Incorporator

Name Role
HODGES, WILLIAM H DMD Incorporator

Agent

Name Role
HODGES, WILLIAM H DMD Agent

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State