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Tuscaloosa General Dentistry, P.C.

Details

Name: Tuscaloosa General Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 May 2010 (15 years ago)
Entity Number: 000-264-231
Register Number: 000264231
Historical Names: John T. Carlson, Jr., D.M.D., P.C.
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 631 HELEN KELLER BLVD STE 200TUSCALOOSA, AL 35404
Registered Office Street Address ZIP Code: 35404
Authorized Capital: $5,000
Paid Share Capital: $1,000

Activities PROFESSIONAL DENTISTRY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376856625 2010-07-15 2013-09-04 631 HELEN KELLER BLVD, SUITE 200, TUSCALOOSA, AL, 354042983, US 631 HELEN KELLER BLVD, SUITE 200, TUSCALOOSA, AL, 354042983, US

Contacts

Phone +1 205-553-4477
Fax 2055530202

Authorized person

Name DR. JOHN TERRY CARLSON JR.
Role OWNER, PRESIDENT
Phone 2055534477

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5759
State AL
Is Primary Yes

Agent

Name Role
CARLSON, JOHN T JR Agent

Incorporator

Name Role
CARLSON, JOHN T JR Incorporator

Events

Event Date Event Type Old Value New Value
2013-05-01 Name Change John T. Carlson, Jr., D.M.D., P.C. Tuscaloosa General Dentistry, P.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State