| Name: | Irondale Dental, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 Dec 1999 (25 years ago) |
| Entity Number: | 000-207-068 |
| Register Number: | 000207068 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | IRONDALE, AL |
| Registered Office Street Address: | 1811 2ND AVE NORTHIRONDALE, AL 35210 |
| Registered Office Street Address ZIP Code: | 35210 |
| Authorized Capital: | $100 |
Activities
DENTISTRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720149859 | 2006-12-13 | 2020-08-22 | 1811 2ND AVE N, IRONDALE, AL, 352101107, US | 1811 2ND AVE N, IRONDALE, AL, 352101107, US | |||||||||||||||||||||||
|
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| Phone | +1 205-956-3810 |
Authorized person
| Name | DR. WILLIAM AUBREY CARTER |
| Role | PRESIDENT |
| Phone | 2099563810 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 2333 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BS BS |
| Number | 51501571CAR |
| State | AL |
| Name | Role |
|---|---|
| HOPPER, MARK T | Incorporator |
| Name | Role |
|---|---|
| CARTER, WILLIAM A | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
