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Madison Family Dentistry, P.C.

Details

Name: Madison Family Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 26 Mar 2001 (24 years ago)
Entity Number: 000-215-679
Register Number: 000215679
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 34 HUGHES RD STE AMADISON, AL 35758
Registered Office Street Address ZIP Code: 35758
Authorized Capital: $2,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821181934 2006-10-02 2020-08-22 34 HUGHES ROAD, SUITE A, MADISON, AL, 35758, US 34 HUGHES ROAD, SUITE A, MADISON, AL, 35758, US

Contacts

Phone +1 256-772-5757

Authorized person

Name DR. EMILY MCINTOSH
Role PRESIDENT
Phone 2567725757

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5023
State AL
Is Primary Yes

Agent

Name Role
MCINTOSH, EMILY HOLDER Agent

Incorporator

Name Role
MCINTOSH, EMILY HOLDER Incorporator

Events

Event Date Event Type Old Value New Value
2002-01-18 Capital Change $1,000 Authorized --- Paid In $2,000 Authorized undefined Paid In

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State