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Eastern Shore Dental, P.C.

Details

Name: Eastern Shore Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 15 Dec 1992 (32 years ago)
Entity Number: 000-153-641
Register Number: 000153641
Historical Names: Eastern Shore Dental Clinic, P.C.
County: Baldwin
Place of Formation: Baldwin County
Registered Office Street Address: POB 1917 2213 HWY 98DAPHNE, AL 36526
Registered Office Street Address ZIP Code: 36526
Authorized Capital: $1,000

Activities DENTAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013651546 2022-04-21 2022-04-21 2213 US HIGHWAY 98, DAPHNE, AL, 365264365, US 2213 US HIGHWAY 98, DAPHNE, AL, 365264365, US

Contacts

Phone +1 251-626-0640
Fax 2516261922

Authorized person

Name WILLIAM R PARSONS
Role DENTIST
Phone 2516260640

Taxonomy

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

Agent

Name Role
PARSONS, WILLIAM R Agent

Incorporator

Name Role
PARSONS, WILLIAM R Incorporator

Events

Event Date Event Type Old Value New Value
2000-05-01 Name Change Eastern Shore Dental Clinic, P.C. Eastern Shore Dental, P.C.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State