| Name: | Shoals Pediatric Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 02 Apr 2003 (22 years ago) |
| Entity Number: | 000-228-370 |
| Register Number: | 000228370 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 2009 DARBY DRFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
| Authorized Capital: | $1,000 |
Activities
DEAL IN PROPERTY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851488233 | 2006-10-06 | 2020-08-22 | 640 COX CREEK PKWY, FLORENCE, AL, 356301105, US | 640 COX CREEK PKWY, FLORENCE, AL, 356301105, US | |||||||||||||||||||
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| Phone | +1 256-760-5660 |
| Fax | 2567604681 |
Authorized person
| Name | DR. ROBIN E. LENTS |
| Role | PRESIDENT/PEDIATRIC DENTIST |
| Phone | 2567605660 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 5111 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NORVELL, CARTER C | Agent | 2009 DARBY DRIVEFLORENCE, AL 35630 |
| Name | Role |
|---|---|
| EMBRY, ROBERT B | Incorporator |
| LENTS, ROBIN | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
