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
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
HAMMACK, STEVEN D | Agent | 531 ST CLAIR STREET SOUTHEASTRUSSELLVILLE, AL 35653 |
Name | Role |
---|---|
HAMMOCK, STEVEN D | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State