| Name: | G. Robin Pruitt, Jr., D.M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 29 Jul 1994 (30 years ago) |
| Entity Number: | 000-165-768 |
| Register Number: | 000165768 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 2116 COLUMBIANA ROADBIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
PRACTICE THE PROFESSION OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013414994 | 2018-04-09 | 2018-04-09 | 2816 COLUMBIANA RD, VESTAVIA HILLS, AL, 352162518, US | 2816 COLUMBIANA RD, VESTAVIA HILLS, AL, 352162518, US | |||||||||||||||||
|
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| Phone | +1 205-823-3223 |
Authorized person
| Name | AINSLEE BOSWELL |
| Role | ADMINISTRATIVE ASSISTANT |
| Phone | 2058233223 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 4659 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PRUITT, G ROBIN JR | Agent |
| Name | Role |
|---|---|
| PRUITT, G ROBIN JR | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
