| Name: | Solid Rock Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 19 Jul 2007 (17 years ago) (Companies founded in July 2007) |
| Entity Number: | 000-253-536 |
| Register Number: | 000253536 |
| Historical Names: |
Egbert Dentistry, P.C.
|
| ZIP code: | 35188 (Companies in Bibb, 35188) |
| County: | Bibb |
| Place of Formation: | Jefferson County |
| Principal Address: | WOODSTOCK, AL |
| Registered Office Street Address: | 20036 HWY 11WOODSTOCK, AL 35188 |
| Authorized Capital: | $10 |
Activities
DENTISTRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750513560 | 2009-08-12 | 2009-08-12 | 2600 HIGHWAY 58, SUITE H, HELENA, AL, 350803735, US | 2600 HIGHWAY 58, SUITE H, HELENA, AL, 350803735, US | |||||||||||||||||||||||||
|
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| Phone | +1 205-620-1000 |
| Fax | 2056200333 |
Authorized person
| Name | DR. KEVIN LANE MORRIS |
| Role | OWNER/DENTIST |
| Phone | 2056201000 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5479 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009910982 |
| State | AL |
| Name | Role |
|---|---|
| EGBERT, GREGORY W | Agent |
| Name | Role |
|---|---|
| EGBERT, GREGORY W | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2008-07-25 | Name Change | Egbert Dentistry, P.C. | Solid Rock Dentistry, P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
