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Birmingham Pediatric Dental Care Associates, P.C.

Details

Name: Birmingham Pediatric Dental Care Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 21 Jun 1996 (28 years ago) (Companies founded in June 1996)
Date of dissolution: 10 Nov 2016
Entity Number: 000-180-622
Register Number: 000180622
ZIP code: 35205 (Companies in Jefferson, 35205)
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2100 SOUTHBRIDGE PKWY STE 590BIRMINGHAM, AL 35205
Authorized Capital: $1,000
Paid Share Capital: --

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366620155 2008-02-05 2008-02-05 1613 11TH AVE S, BIRMINGHAM, AL, 352054703, US 1613 11TH AVE S, BIRMINGHAM, AL, 352054703, US

Contacts

Phone +1 205-933-1363
Fax 2059331365

Authorized person

Name DR. FREDERICK B SMITH
Role PRESIDENT
Phone 2059331363

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 2693
State AL
Is Primary Yes

Agent

Name Role
SMITH, FREDERICK B Agent

Incorporator

Name Role Address
LYLE, JOHN F III Incorporator PO BOX 2329FAIRHOPE, AL 36533

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State