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The Good Hope Dental Center, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
CLARK, L MALCOLM JR DMD Agent

Incorporator

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