| Name: | Oxmoor Valley Orthodontics, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 29 Jun 2007 (17 years ago) (Companies founded in June 2007) |
| Entity Number: | 000-253-291 |
| Register Number: | 000253291 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 415 WEST OXMOOR RDBIRMINGHAM, AL 35209 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881888998 | 2007-08-31 | 2010-07-29 | 415 W OXMOOR RD, BIRMINGHAM, AL, 352096320, US | 415 W OXMOOR RD, BIRMINGHAM, AL, 352096320, US | |||||||||||||||||||||||||||
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| Phone | +1 205-942-2270 |
| Fax | 2059422271 |
Authorized person
| Name | DR. DEBORAH A SEMA |
| Role | PRESIDENT |
| Phone | 2059422270 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS & BLUE SHIELD |
| Number | 51004939 |
| State | AL |
| Issuer | UNITED CONCORDIA |
| Number | 583011 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| SEMA, DEBORAH A | Agent | 1841 WINDSOR BLVDBIRMINGHAM, AL 35209 |
| Name | Role | Address |
|---|---|---|
| SEMA, DEBORAH A | Incorporator | 1841 WINDSOR BLVDBIRMINGHAM, AL 35209 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
