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Dentistry for Children, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
ISHERWOOD, JULIA E Agent

Incorporator

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