| Name: | Johnson & Mahan Dental Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 06 Jan 2005 (20 years ago) |
| Entity Number: | 000-239-026 |
| Register Number: | 000239026 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Principal Address: | FLORENCE, AL |
| Registered Office Street Address: | 136 KENSINGTON DRFLORENCE, AL 35633 |
| Registered Office Street Address ZIP Code: | 35633 |
| Authorized Capital: | $1,00 |
Activities
PRACTICE DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003025453 | 2007-05-22 | 2020-08-22 | 1829 DARBY DR STE A, FLORENCE, AL, 356302622, US | 1829 DARBY DR STE A, FLORENCE, AL, 356302622, US | |||||||||||||||||||
|
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| Phone | +1 256-766-3260 |
| Fax | 2567666364 |
Authorized person
| Name | DR. LAURA C MAHAN |
| Role | PRESIDENT |
| Phone | 2567663260 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5342 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JOHNSON, CANDICE BROWN | Agent |
| Name | Role |
|---|---|
| MAHAN, LAURA COSTON | Incorporator |
| JOHNSON, CANDICE BROWN | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
