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
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 | |||||||||||||||||||
|
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 |
Name | Role |
---|---|
CARLSON, JOHN T JR | Agent |
Name | Role |
---|---|
CARLSON, JOHN T JR | Incorporator |
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