Name: | Dentistry for Children, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 27 Mar 2009 (16 years ago) (Companies founded in March 2009) |
Entity Number: | 000-260-461 |
Register Number: | 000260461 |
ZIP code: | 36117 (Companies in Montgomery, 36117) |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 7047 HALCYON SUMMIT DRIVEMONTGOMERY, AL 36117 |
Authorized Capital: | $500 |
Activities
PEDIATRIC DENTISTRY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1275769986 | 2009-06-09 | 2009-06-09 | 5833 CARMICHAEL RD, MONTGOMERY, AL, 361172329, US | 5833 CARMICHAEL RD, MONTGOMERY, AL, 36117, US | |||||||||||||||||||||
|
Phone | +1 334-277-6830 |
Fax | 3342702073 |
Authorized person
Name | DR. JULIA E ISHERWOOD |
Role | OFFICER OWNER |
Phone | 3342776830 |
Taxonomy
Taxonomy Code | 1223P0221X - Pediatric Dentist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 528302460 |
State | AL |
Name | Role |
---|---|
ISHERWOOD, JULIA E | Agent |
Name | Role | Address |
---|---|---|
WILLIAMS, M COURTNEY | Incorporator | PO BOX 2069MONTGOMERY, AL 36102-2069 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State