| Name: | Terry A. Burgess, D.D.S. Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 03 Feb 1999 (26 years ago) |
| Entity Number: | 000-200-601 |
| Register Number: | 000200601 |
| County: | Madison |
| Place of Formation: | Franklin County |
| Principal Address: | RUSSELLVILLE, AL |
| Registered Office Street Address: | 810 PALMER PLAZA, SUITE 103MADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649648858 | 2015-09-03 | 2016-06-03 | 810 PALMER PLAZA, # 103, MADISON, AL, 35758, US | 810 PALMER PLAZA, # 103, MADISON, AL, 35758, US | |||||||||||||||||||
|
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| Phone | +1 256-772-2626 |
| Fax | 2567722602 |
Authorized person
| Name | TERRY A BURGESS |
| Role | DENTIST/OWNER |
| Phone | 2567722626 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 4219 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BURGESS, TERRY A | Agent |
| Name | Role |
|---|---|
| BURGESS, TERRY A | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
