| Name: | Columbiana Family Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 03 Jan 2006 (19 years ago) |
| Entity Number: | 000-244-981 |
| Register Number: | 000244981 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | COLUMBIANA, AL |
| Registered Office Street Address: | 204 MILDRED STCOLUMBIANA, AL 35051 |
| Registered Office Street Address ZIP Code: | 35051 |
| Authorized Capital: | $1,000 |
Activities
DENTISTRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942461587 | 2008-06-17 | 2008-06-17 | PO BOX 558, 204 MILDRED STREET, COLUMBIANA, AL, 350510558, US | 204 MILDRED ST, COLUMBIANA, AL, 350519330, US | |||||||||||||||||||
|
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| Phone | +1 205-669-6778 |
| Fax | 2056696779 |
Authorized person
| Name | DR. TIMOTHY DOYLE NETTLES |
| Role | DENTIST |
| Phone | 2056696778 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5248 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NETTLES, TIMOTHY D | Agent |
| Name | Role |
|---|---|
| NETTLES, TIMOTHY D | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
