| Name: | Cornerstone Dentistry of Decatur, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 08 Apr 2003 (22 years ago) (Companies founded in April 2003) |
| Entity Number: | 000-228-522 |
| Register Number: | 000228522 |
| ZIP code: | 35601 (Companies in Morgan, 35601) |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | 1215 13TH AVE SEDECATUR, AL 35601 |
| Authorized Capital: | $1,000 |
Activities
DENTISTRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215024690 | 2006-10-06 | 2020-08-22 | 1215 13TH AVE SE, DECATUR, AL, 356014306, US | 1215 13TH AVE SE, DECATUR, AL, 356014306, US | |||||||||||||||||
|
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| Phone | +1 256-353-1481 |
Authorized person
| Name | DR. KELVIN SCOTT WHITAKER |
| Role | PRESIDENT SECRETARY |
| Phone | 2563531481 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | AL4965 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| WHITAKER, KELVIN S | Agent |
| Name | Role |
|---|---|
| WHITAKER, KELVIN S | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
