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Oak Mountain Orthodontics, PC

Details

Name: Oak Mountain Orthodontics, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 24 Mar 2005 (20 years ago)
Entity Number: 000-240-541
Register Number: 000240541
ZIP code: 35244
County: Jefferson
Place of Formation: Shelby County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 2029 OLD MONTGOMERY HWYBIRMINGHAM, AL 35244
Authorized Capital: 100

Activities PROVIDE ORTHODONTIC BRACES/OTHER SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316032329 2006-10-04 2020-08-22 2029 OLD MONTGOMERY HIGHWAY, BIRMINGHAM, AL, 35244, US 2029 OLD MONTGOMERY HIGHWAY, BIRMINGHAM, AL, 35244, US

Contacts

Phone +1 205-682-7488
Fax 2056827487

Authorized person

Name DR. PRISCILLA ARRUDA DENNY
Role PRESIDENT ORTHODONTIST
Phone 2056827488

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number 5108
State AL
Is Primary Yes

Agent

Name Role
DENNY, PRISCILA A Agent

Incorporator

Name Role
DENNY, PRISCILA A Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State