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Robert Y. Griffin III, D.M.D., P.C.

Details

Name: Robert Y. Griffin III, D.M.D., P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 Jul 2008 (16 years ago)
Entity Number: 000-257-890
Register Number: 000257890
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 401 NORTH CEDAR STFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: $100

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922262617 2008-07-11 2008-07-11 401 N CEDAR ST, FLORENCE, AL, 356305405, US 401 N CEDAR ST, FLORENCE, AL, 356305405, US

Contacts

Phone +1 256-764-4453
Fax 2567670080

Authorized person

Name ROBERT Y GRIFFIN III
Role PRESIDENT
Phone 2567644453

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number D.0005621
State AL
Is Primary Yes

Agent

Name Role
GRIFFIN, ROBERT Y III Agent

Incorporator

Name Role
GRIFFIN, ROBERT Y III Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State