Name: | The Good Hope Dental Center, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 22 Jul 1993 (31 years ago) |
Entity Number: | 000-158-107 |
Register Number: | 000158107 |
County: | Cullman |
Place of Formation: | Cullman County |
Principal Address: | CULLMAN, AL |
Registered Office Street Address: | 1380 COUNTY ROAD 437CULLMAN, AL 35057 |
Registered Office Street Address ZIP Code: | 35057 |
Authorized Capital: | $5,000 |
Paid Share Capital: | ---- |
Activities
PRACTICE OF DENTISTRY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1619193216 | 2007-04-18 | 2020-08-22 | 203 COMMERCE CIR SW STE B, DECATUR, AL, 356016840, US | 203 COMMERCE CIR SW STE B, DECATUR, AL, 356016840, US | |||||||||||||||||||
|
Phone | +1 256-350-8182 |
Fax | 2563503232 |
Authorized person
Name | DR. LEON MALCOLM CLARK JR. |
Role | PRESIDENT |
Phone | 2563508182 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
License Number | 4499 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
CLARK, L MALCOLM JR DMD | Agent |
Name | Role | Address |
---|---|---|
BROCKMAN, RICHARD J | Incorporator | 420 N. 20TH STREET, SUITE 3400BIRMINGHAM, AL 35203 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State