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Hometown Family Dentistry, P.C.

Details

Name: Hometown Family Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 31 May 2005 (19 years ago) (Companies founded in May 2005)
Date of dissolution: 03 Apr 2019
Entity Number: 000-241-990
Register Number: 000241990
ZIP code: 35243 (Companies in Jefferson, 35243)
County: Jefferson
Place of Formation: Talladega County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 4044 ROYAL OAK COURTBIRMINGHAM, AL 35243
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities RENDER PROFESSIONAL DENTAL TREATMENT

National Provider Identifier

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

Contacts

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

Agent

Name Role
JOHN F PERRY DMD PC Agent

Incorporator

Name Role
PERRY, JOHN F Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State