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Capstone Dental Care, P.C.

Details

Name: Capstone Dental Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 12 Jul 2004 (20 years ago)
Entity Number: 000-236-437
Register Number: 000236437
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 100 RICE MINE RDTUSCALOOSA, AL 35406
Registered Office Street Address ZIP Code: 35406
Authorized Capital: $600

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760558167 2006-11-28 2020-08-22 100 RICE MINE RD N, SUITE D, TUSCALOOSA, AL, 354062300, US 100 RICE MINE RD N, SUITE D, TUSCALOOSA, AL, 354062300, US

Contacts

Phone +1 205-248-9077
Fax 2052489076

Authorized person

Name DR. JENNIFER T DICKSON
Role DENTIST
Phone 2052489077

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 4990
State AL
Is Primary Yes
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 4999
State AL
Is Primary No

Agent

Name Role
BENNETT, JOHN C SR Agent

Incorporator

Name Role
DICKSON, JENNIFER T Incorporator
BENNETT, JOHN C SR Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State