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C. D. Harrell, III, DMD, P.C.

Details

Name: C. D. Harrell, III, DMD, P.C.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 29 Nov 1994 (30 years ago)
Entity Number: 000-168-248
Register Number: 000168248
County: Baldwin
Place of Formation: Baldwin County
Principal Address: FAIRHOPE, AL
Registered Office Street Address: 59 N SECTION STFAIRHOPE, AL 36532
Registered Office Street Address ZIP Code: 36532
Authorized Capital: $1,000
Paid Share Capital: ----

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538294921 2007-02-23 2013-03-18 71-A NORTH SECTION ST., FAIRHOPE, AL, 36532, US 71A N. SECTION ST., FAIRHOPE, AL, 36532, US

Contacts

Phone +1 251-928-8221
Fax 2519288229

Authorized person

Name DR. CLAUDE DOUGLAS HARRELL III
Role DENTIST
Phone 2519288221

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 4512
State AL
Is Primary Yes

Agent

Name Role
HARRELL, C D III Agent

Incorporator

Name Role
LEWIS, HERB Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State