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East Limestone Family Dental, P.C.

Details

Name: East Limestone Family Dental, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 16 Apr 2008 (17 years ago)
Entity Number: 000-257-012
Register Number: 000257012
County: Limestone
Place of Formation: Limestone County
Principal Address: ATHENS, AL
Registered Office Street Address: 27453 CAPSHAW RD STE DATHENS, AL 35613
Registered Office Street Address ZIP Code: 35613
Authorized Capital: $5,000

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700191665 2010-08-16 2010-08-16 27453 CAPSHAW RD, SUITE D, ATHENS, AL, 356137564, US 27453 CAPSHAW RD, SUITE D, ATHENS, AL, 356137564, US

Contacts

Phone +1 256-216-8525
Fax 2562168527

Authorized person

Name DR. BARRY SCOTT FITTS
Role OWNER
Phone 2562168525

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5493
State AL
Is Primary Yes

Agent

Name Role Address
FITTS, BARRY S Agent 16242 TRAVERTINE DRIVEATHENS, AL 35613

Incorporator

Name Role Address
FITTS, BARRY S Incorporator 16242 TRAVERTINE DRIVEATHENS, AL 35613
FITTS, CHERYL L Incorporator No data

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State