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Donald H. Busby, DMD, P.C.

Details

Name: Donald H. Busby, DMD, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 31 Jul 2001 (23 years ago) (Companies founded in July 2001)
Date of dissolution: 13 Nov 2019
Entity Number: 000-217-982
Register Number: 000217982
ZIP code: 36862 (Companies in Chambers, 36862)
County: Chambers
Place of Formation: Chambers County
Principal Address: LAFAYETTE, AL
Registered Office Street Address: 134 FIRST ST SOUTHEASTLAFAYETTE, AL 36862
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities PRACTICE DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275640633 2006-08-23 2007-09-19 134 1ST ST SE, LAFAYETTE, AL, 36862, US 134 1ST ST SE, LAFAYETTE, AL, 36862, US

Contacts

Phone +1 334-864-8808
Fax 3348648840

Authorized person

Name DONALD HERBERT BUSBY
Role PRESIDENT OWNER
Phone 3348648808

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 3743
State AL
Is Primary Yes

Agent

Name Role Address
BUSBY, DONALD H Agent 134 1ST ST SELAFAYETTE, AL 36862

Incorporator

Name Role Address
BUSBY, DONALD H Incorporator 134 1ST ST SELAFAYETTE, AL 36862

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State