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Chase Family Dentistry, P.C.

Details

Name: Chase Family Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 12 Dec 2006 (18 years ago)
Entity Number: 000-250-236
Register Number: 000250236
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 145 EDENSHIRE DRHUNTSVILLE, AL 35811
Registered Office Street Address ZIP Code: 35811
Authorized Capital: $1,000

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215146725 2007-05-21 2008-02-11 1392 JORDAN RD, SUITE A, HUNTSVILLE, AL, 358118240, US 1392 JORDAN RD, SUITE A, HUNTSVILLE, AL, 358118240, US

Contacts

Phone +1 256-852-9110
Fax 2568523443

Authorized person

Name DR. LINDALEE CLAYTON
Role PRESIDENT
Phone 2568529110

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 5281
State AL
Is Primary Yes

Agent

Name Role Address
CLAYTON, LINDALEE Agent 2209 POINCIANNA STHUNTSVILLE, AL 35811

Incorporator

Name Role Address
CLAYTON, LINDALEE Incorporator 2209 POINCIANNA STHUNTSVILLE, AL 35811

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State