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CGF DDS, P.C.

Details

Name: CGF DDS, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 Dec 2010 (14 years ago)
Entity Number: 000-265-850
Register Number: 000265850
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 10300 BAILEY COVE RD SE SUITE 4HUNTSVILLE, AL 35803
Registered Office Street Address ZIP Code: 35803
Authorized Capital: $1,000

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982907473 2010-12-06 2019-07-10 10300 BAILEY COVE RD SE, STE 4, HUNTSVILLE, AL, 358032635, US 10300 BAILEY COVE RD SE, STE 4, HUNTSVILLE, AL, 358032635, US

Contacts

Phone +1 256-650-0724
Fax 2566500872

Authorized person

Name DR. CLIFTON FRAZIER JR.
Role PRESIDENT
Phone 2566500724

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary No
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Agent

Name Role Address
FRAZIER, CLIFTON JR Agent 10300 BAILEY COVE RD SE SUITE 4HUNTSVILLE, AL 35803

Director

Name Role Address
FRAZIER, CLIFTON JR Director 10300 BAILEY COVE RD SE SUITE 4HUNTSVILLE, AL 35803

Incorporator

Name Role Address
PULLEN, MARK E Incorporator 2353 WHITESBURG DRIVEHUNTSVILLE, AL 35801

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State