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Complete Dental Care, P.C.

Details

Name: Complete Dental Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 Oct 2001 (23 years ago)
Entity Number: 000-219-650
Register Number: 000219650
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 707 21ST ST SOUTHBIRMINGHAM, AL 35233
Registered Office Street Address ZIP Code: 35233
Authorized Capital: $10,000

Activities PROVIDE DENTAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801915236 2007-03-28 2020-08-22 2121 14TH AVE S, BIRMINGHAM, AL, 352053901, US 2121 14TH AVE S, BIRMINGHAM, AL, 352053901, US

Contacts

Phone +1 205-933-1291
Fax 2059309029

Authorized person

Name MRS. KIMBERLY HARRADINE
Role OWNER
Phone 2059331291

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5048
State AL
Is Primary No
Taxonomy Code 1223P0700X - Prosthodontist
License Number 5077
State AL
Is Primary No

Agent

Name Role
HARRADINE, KIMBERLY REED Agent

Incorporator

Name Role
HARRADINE, KIMBERLY REED Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State