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Cox Creek Family Dentistry, P.C.

Details

Name: Cox Creek Family Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 24 Aug 2001 (23 years ago)
Entity Number: 000-218-464
Register Number: 000218464
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 721 COX CREEK PARKWAYFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: $10

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235247891 2006-08-25 2020-08-22 721 COX CREEK PKWY, FLORENCE, AL, 356301001, US 721 COX CREEK PKWY, FLORENCE, AL, 356301001, US

Contacts

Phone +1 256-766-9700
Fax 2567660883

Authorized person

Name DR. JEREMIAH JOHNSON STODDARD
Role PARTNER
Phone 2567669700

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5097
State AL
Is Primary Yes

Agent

Name Role
STODDARD, JAMES T JR Agent

Incorporator

Name Role
STODDARD, JAMES T JR Incorporator
STODDARD, JEREMIAH J Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State