| Name: | Hometown Family Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 31 May 2005 (19 years ago) |
| Date of dissolution: | 03 Apr 2019 |
| Entity Number: | 000-241-990 |
| Register Number: | 000241990 |
| County: | Jefferson |
| Place of Formation: | Talladega County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 4044 ROYAL OAK COURTBIRMINGHAM, AL 35243 |
| Registered Office Street Address ZIP Code: | 35243 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
RENDER PROFESSIONAL DENTAL TREATMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487746871 | 2006-09-29 | 2014-03-24 | 9133 PARKWAY E, SUITE 101B, BIRMINGHAM, AL, 35206, US | 9133 PARKWAY E, SUITE 101B, BIRMINGHAM, AL, 35206, US | |||||||||||||||||||||||
|
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| Phone | +1 205-836-7276 |
Authorized person
| Name | DR. JOHN F. PERRY |
| Role | PRESIDENT |
| Phone | 2058367276 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 4250 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS PROVIDER NUMBER |
| Number | 515-28675 |
| State | AL |
| Name | Role |
|---|---|
| JOHN F PERRY DMD PC | Agent |
| Name | Role |
|---|---|
| PERRY, JOHN F | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
