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Jerry L. Boshell, D.M.D., P.C.

Details

Name: Jerry L. Boshell, D.M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 07 Jun 2007 (17 years ago) (Companies founded in June 2007)
Date of dissolution: 27 Sep 2016
Entity Number: 000-252-931
Register Number: 000252931
ZIP code: 35501 (Companies in Walker, 35501)
County: Walker
Place of Formation: Walker County
Principal Address: JASPER, AL
Registered Office Street Address: 1606 6TH AVEJASPER, AL 35501
Authorized Capital: $5,000

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083883722 2008-02-27 2008-02-27 1606 6TH AVE S, P.O. BOX 3125, JASPER, AL, 355014640, US 1606 6TH AVE S, JASPER, AL, 355014640, US

Contacts

Phone +1 205-221-2330
Fax 2052213961

Authorized person

Name DR. JERRY L. BOSHELL
Role PRESIDENT
Phone 2052212330

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 3149
State AL
Is Primary Yes

Agent

Name Role
BOSHELL, JERRY L Agent

Incorporator

Name Role
BOSHELL, JERRY L Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State