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Russellville Dental Care, P.C.

Details

Name: Russellville Dental Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 16 Jan 2007 (18 years ago)
Entity Number: 000-250-712
Register Number: 000250712
County: Franklin
Place of Formation: Franklin County
Principal Address: RUSSELLVILLE, AL
Registered Office Street Address: 510 ENGLE DRRUSSELLVILLE, AL 35653
Registered Office Street Address ZIP Code: 35653
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083883276 2008-02-21 2008-02-21 510 ENGLE DR SE, RUSSELLVILLE, AL, 356532749, US 510 ENGLE DR SE, RUSSELLVILLE, AL, 356532749, US

Contacts

Phone +1 256-332-6073
Fax 2563326655

Authorized person

Name DR. MARK EDWIN LOVE
Role PRESIDENT
Phone 2563326073

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number AL3951
State AL
Is Primary Yes

Agent

Name Role Address
HAMMACK, STEVEN D Agent 531 ST CLAIR STREET SOUTHEASTRUSSELLVILLE, AL 35653

Incorporator

Name Role
HAMMOCK, STEVEN D Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State