| Name: | McCalla Orthodontics & Pediatric Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 12 Mar 2004 (21 years ago) |
| Entity Number: | 000-234-244 |
| Register Number: | 000234244 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | PELHAM, AL |
| Registered Office Street Address: | 108 HEATHER LNPELHAM, AL 35124 |
| Registered Office Street Address ZIP Code: | 35124 |
| Authorized Capital: | $10,000 |
Activities
ORTHODONTIC/PEDIATRIC DENTAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831377993 | 2008-01-31 | 2008-01-31 | 4764 EASTERN VALLEY RD STE 104-106, MC CALLA, AL, 351113469, US | 4764 EASTERN VALLEY RD, SUITE 104-106, MC CALLA, AL, 351113469, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 205-477-8004 |
| Fax | 2054778214 |
Authorized person
| Name | DR. OLGA M. SANCHEZ-HERNANDEZ |
| Role | OWNER |
| Phone | 2054778004 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 4956 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UNITED CONCORDIA |
| Number | 1364757 |
| State | AL |
| Issuer | BCBS |
| Number | 51523968 |
| State | AL |
| Name | Role |
|---|---|
| SANCHEZ-HERNANDEZ, OLGA M | Agent |
| Name | Role |
|---|---|
| SANCHEZ-HERNANDEZ, OLGA M | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
