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Anthony Dental Services P.C.

Details

Name: Anthony Dental Services P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 08 Jun 2009 (15 years ago)
Entity Number: 000-261-143
Register Number: 000261143
County: Morgan
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 466 ALABAMA 67 SDECATUR, AL 35603
Registered Office Street Address ZIP Code: 35603
Authorized Capital: 100

Activities DENTISTRY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992934855 2009-07-13 2010-06-23 466 HIGHWAY 67 S, DECATUR, AL, 356036300, US 466 HIGHWAY 67 S, DECATUR, AL, 356036300, US

Contacts

Phone +1 256-355-0199

Authorized person

Name DR. JASSEN ALLEN ANTHONY
Role PRESIDENT
Phone 2563550199

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5673
State AL
Is Primary Yes

Agent

Name Role
ANTHONY, JASSEN A Agent

Incorporator

Name Role Address
GALLO, EILEEN Incorporator 101 N BRAND BLVD 11TH FLOORGLENDALE, CA 91203

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State