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R. Keith Calvert, DMD, PC

Details

Name: R. Keith Calvert, DMD, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 28 Jun 2007 (17 years ago)
Entity Number: 000-253-292
Register Number: 000253292
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 313 AARON DRBIRMINGHAM, AL 35215
Registered Office Street Address ZIP Code: 35215
Authorized Capital: $1,000

Activities DENTAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972793339 2007-07-31 2007-07-31 313 AARON DR, BIRMINGHAM, AL, 352158201, US 313 AARON DR, BIRMINGHAM, AL, 352158201, US

Contacts

Phone +1 205-836-0877
Fax 2058365751

Authorized person

Name DR. RUSSEL KEITH CALVERT
Role DENTIST
Phone 2058360877

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 2703
State AL
Is Primary Yes

Agent

Name Role
CALVERT, R KEITH Agent

Incorporator

Name Role
CALVERT, R KEITH Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State