| Name: | Woodstock Dental Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 21 Sep 1994 (30 years ago) (Companies founded in September 1994) |
| Entity Number: | 000-166-849 |
| Register Number: | 000166849 |
| ZIP code: | 35188 (Companies in Bibb, 35188) |
| County: | Bibb |
| Place of Formation: | Bibb County |
| Principal Address: | WOODSTOCK, AL |
| Registered Office Street Address: | HWY 5 & HWY 11WOODSTOCK, AL 35188 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $500 |
Activities
PRACTICE OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649450198 | 2007-11-13 | 2007-11-13 | 28716 HWY 5, SUITE 4, WOODSTOCK, AL, 35188, US | WOODSTOCK DENTAL CARE 28716 HWY 5, SUITE 4, WOODSTOCK, AL, 35188, US | |||||||||||||||||||||||
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| Phone | +1 205-938-3318 |
Authorized person
| Name | DR. KAREN W LITTLETON |
| Role | OWNER |
| Phone | 2059383313 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 4997 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 369760 |
| State | AL |
| Name | Role |
|---|---|
| CLARK, JAMES M DMD | Agent |
| Name | Role | Address |
|---|---|---|
| CLARK, JAMES M | Incorporator | 724 HOLCOMB AVEMOBILE, AL 36606 |
| RANDALE, MICHAEL B | Incorporator | No data |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
