| Name: | Dothan Dental Group, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 05 Jun 2000 (24 years ago) (Companies founded in June 2000) |
| Entity Number: | 000-210-252 |
| Register Number: | 000210252 |
| ZIP code: | 36303 (Companies in Houston, 36303) |
| County: | Houston |
| Place of Formation: | Houston County |
| Registered Office Street Address: | 366 HEALTHWEST DRDOTHAN, AL 36303 |
| Authorized Capital: | $1,000 |
Activities
PRACTICE OF GENERAL DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578714473 | 2008-10-09 | 2008-10-09 | 366 HEALTHWEST DR, DOTHAN, AL, 363031907, US | 366 HEALTHWEST DR, DOTHAN, AL, 363031907, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 334-793-6400 |
Authorized person
| Name | DR. ASHLEY C MATTHEWS |
| Role | CO-OWNER |
| Phone | 3347936400 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 5083 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 122300000X - Dentist |
| License Number | 2781 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| PRIM, T W | Agent |
| Name | Role |
|---|---|
| PRIM, T WAYNE | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
