| Name: | Madison Dental Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 03 Jan 1996 (29 years ago) |
| Entity Number: | 000-176-577 |
| Register Number: | 000176577 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | MADISON, AL |
| Registered Office Street Address: | 7898 MADISON PIKEMADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
RENDERING PROFESSIONAL DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689954356 | 2011-08-25 | 2011-08-25 | 115 RAINBOW DR, MADISON, AL, 357588224, US | 115 RAINBOW DR, MADISON, AL, 357588224, US | |||||||||||||||
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| Phone | +1 256-837-3274 |
| Fax | 2568373696 |
Authorized person
| Name | DR. BENJAMIN FRANKLIN SHEFTALL |
| Role | OWNER |
| Phone | 8439910344 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ALLEN, DALE E | Agent | 7908 MADISON PIKEMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| ALLEN, DALE E | Incorporator | 7908 MADISON PIKEMADISON, AL 35758 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
