| Name: | Thad A. Sullens, D.M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 18 Jan 2005 (20 years ago) |
| Entity Number: | 000-239-389 |
| Register Number: | 000239389 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | TRUSSVILLE, AL |
| Registered Office Street Address: | 7040 GADSDEN HWY STE 112TRUSSVILLE, AL 35173 |
| Registered Office Street Address ZIP Code: | 35173 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
PROVIDE DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578765368 | 2007-06-04 | 2007-07-26 | 7040 GADSDEN HWY, STE 112, TRUSSVILLE, AL, 351732680, US | 7040 GADSDEN HWY, STE 112, TRUSSVILLE, AL, 351732680, US | |||||||||||||||||
|
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| Phone | +1 205-655-5219 |
Authorized person
| Name | DR. THAD SULLENS |
| Role | PRESIDENT |
| Phone | 2056555219 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5163 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SULLENS, THAD A | Agent |
| Name | Role |
|---|---|
| SULLENS, THAD A | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
