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Premier Family Dentistry, P.C.

Details

Name: Premier Family Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 10 Apr 2008 (17 years ago)
Date of dissolution: 31 Jan 2012
Entity Number: 000-256-881
Register Number: 000256881
County: Limestone
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 12090 COUNTY LINE RD STE LMADISON, AL 35756
Registered Office Street Address ZIP Code: 35756
Authorized Capital: $5,000

Activities PROFESSIONAL DENTISTRY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578843090 2011-08-29 2011-08-29 9200 HIGHWAY 119, SUITE 200, ALABASTER, AL, 350075337, US 9200 HIGHWAY 119, SUITE 200, ALABASTER, AL, 350075337, US

Contacts

Phone +1 205-621-5304
Fax 2056215306

Authorized person

Name DR. JOSEPH A. ZANATHOS
Role OWNER
Phone 2056215304

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 5657
State AL
Is Primary Yes

Agent

Name Role Address
SOTOUDEHNIA, SOHROB Agent 705 HEATH DRIVEHUNTSVILLE, AL 35802

Incorporator

Name Role Address
SOTOUDEHNIA, SOHROB Incorporator 705 HEATH DRIVEHUNTSVILLE, AL 35802

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State