| Name: | Emblom & Vaughn, D.M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 17 Dec 1999 (25 years ago) (Companies founded in December 1999) |
| Entity Number: | 000-206-788 |
| Register Number: | 000206788 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | DOTHAN, AL |
| Registered Office Street Address: | 1607 MONTCLIFF DRDOTHAN, AL 36303 |
| Authorized Capital: | $5,000 |
Activities
DENTISTRY PRACTICE/SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194205740 | 2018-08-14 | 2018-08-14 | 318 HEALTHWEST DR., DOTHAN, AL, 36303, US | 318 HEALTHWEST DR., DOTHAN, AL, 36303, US | |||||||||||||||||
|
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| Phone | +1 334-678-1727 |
| Fax | 3346781521 |
Authorized person
| Name | DR. ROBERT G. EMBLOM |
| Role | DENTIST/PRESIDENT |
| Phone | 3346781727 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| EMBLOM, ROBERT G | Agent |
| Name | Role |
|---|---|
| EMBLOM, ROBERT G | Incorporator |
| VAUGHN, HENRY C III | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
