| Name: | North Alabama Center for Cosmetic and General Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 24 Nov 1999 (25 years ago) |
| Entity Number: | 000-206-282 |
| Register Number: | 000206282 |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Principal Address: | ATHENS, AL |
| Registered Office Street Address: | 300 NORTH MADISON STATHENS, AL 35611 |
| Registered Office Street Address ZIP Code: | 35611 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $500 |
Activities
GENERAL DENTISTRY PRACTICE/DENTAL SURGERY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417209008 | 2012-10-08 | 2013-02-27 | 200 E HOBBS ST, ATHENS, AL, 356112108, US | 200 E HOBBS ST, ATHENS, AL, 356112108, US | |||||||||||||||||||
|
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| Phone | +1 256-233-1400 |
| Fax | 2562331404 |
Authorized person
| Name | DR. ROBERT BRAD BEASLEY |
| Role | OWNER |
| Phone | 2562331400 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 4761 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BEASLEY, R BRADLEY | Agent |
| Name | Role |
|---|---|
| BEASLEY, R BRAD | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
