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
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 | |||||||||||||||
|
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 |
Name | Role |
---|---|
PARSONS, WILLIAM R | Agent |
Name | Role |
---|---|
PARSONS, WILLIAM R | Incorporator |
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