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Pruitt & Eberhart, DMD, P.C.

Details

Name: Pruitt & Eberhart, DMD, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 07 Aug 2001 (23 years ago)
Entity Number: 000-218-141
Register Number: 000218141
County: Cherokee
Place of Formation: Cherokee County
Principal Address: CENTRE, AL
Registered Office Street Address: 1780 W MAIN STCENTRE, AL 35960
Registered Office Street Address ZIP Code: 35960
Authorized Capital: $100

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184756496 2007-03-12 2020-08-22 1780 W MAIN ST, CENTRE, AL, 359602809, US 1780 W MAIN ST, CENTRE, AL, 359602809, US

Contacts

Phone +1 256-927-2600
Fax 2569272322

Authorized person

Name DR. JEFFREY R EBERHART
Role OWNER
Phone 2569272600

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5112
State AL
Is Primary Yes
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5161
State AL
Is Primary No

Incorporator

Name Role Address
EBERHART, JEFF Incorporator No data
PRUITT, MICHAEL Incorporator 118 INDEPENDENCE AVEENTERPRISE, AL 36330

Agent

Name Role
EBERHART, JEFF Agent

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State