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Healthwest Dental Associates, P.C.

Details

Name: Healthwest Dental Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 27 Dec 2001 (23 years ago)
Date of dissolution: 14 Sep 2020
Entity Number: 000-220-361
Register Number: 000220361
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 502 HEALTHWEST DRDOTHAN, AL 36303
Registered Office Street Address ZIP Code: 36303
Authorized Capital: $1,200

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558544544 2007-12-12 2007-12-12 502 HEALTHWEST DRIVE, DOTHAN, AL, 36303, US 502 HEALTHWEST DRIVE, DOTHAN, AL, 36303, US

Contacts

Phone +1 334-702-1101
Fax 3346776176

Authorized person

Name DR. HENRY PAUL HUFHAM III
Role DENTIST OWNER
Phone 3347021101

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 4574
State AL
Is Primary Yes
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 4707
State AL
Is Primary No

Agent

Name Role
HUFHAM, H PAUL III Agent

Incorporator

Name Role
HUFHAM, H PAUL III Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State