Name: | Shoals Pediatric Dentistry, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 02 Apr 2003 (22 years ago) (Companies founded in April 2003) |
Entity Number: | 000-228-370 |
Register Number: | 000228370 |
ZIP code: | 35630 (Companies in Lauderdale, 35630) |
County: | Lauderdale |
Place of Formation: | Lauderdale County |
Principal Address: | FLORENCE, AL |
Registered Office Street Address: | 2009 DARBY DRFLORENCE, AL 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 | |||||||||||||||||||
|
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