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Southside Family Dentistry, Inc.

Details

Name: Southside Family Dentistry, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 04 Aug 2003 (21 years ago)
Entity Number: 000-230-366
Register Number: 000230366
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2128 7TH AVE SBIRMINGHAM, AL 35233
Registered Office Street Address ZIP Code: 35233
Authorized Capital: $100
Paid Share Capital: $100

Activities DENTIST PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467663401 2007-05-24 2016-11-15 1715 11TH AVE S STE C, BIRMINGHAM, AL, 352054704, US 1715 11TH AVE S STE C, BIRMINGHAM, AL, 352054704, US

Contacts

Phone +1 205-251-6928
Fax 2052516968

Authorized person

Name DR. KUNTAL S PANDIT
Role OWNER
Phone 2052516928

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Incorporator

Name Role
PANDIT, KUNTAL Incorporator

Agent

Name Role
PANDIT, KUNTAL Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State