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South Huntsville Dentistry, PC

Details

Name: South Huntsville Dentistry, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 14 Sep 2012 (12 years ago) (Companies founded in September 2012)
Date of dissolution: 06 Dec 2019
Entity Number: 000-267-367
Register Number: 000267367
ZIP code: 35802 (Companies in Madison, 35802)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 4 TURNBRIDGE LANEHUNTSVILLE, AL 35802
Authorized Capital: 1000 @ $1.00 PV

Activities PRACTICE OF DENTISTRY
ORAL SURGERY
PERIODONIA
ORTHODONTIA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649510967 2013-02-22 2016-02-24 810 SHONEY DR SW, HUNTSVILLE, AL, 358015450, US 810 SHONEY DR SW, SUITE 100, HUNTSVILLE, AL, 358015450, US

Contacts

Phone +1 256-429-9027

Authorized person

Name DR. CRAIG SHADINGER
Role PRESIDENT
Phone 2564299027

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 5285
State AL
Is Primary Yes

Agent

Name Role Address
SHADINGER, CRAIG G Agent 4 TURNBRIDGE LANEHUNTSVILLE, AL 35802

Director

Name Role Address
SHADINGER, CRAIG G Director 4 TURNBRIDGE LANEHUNTSVILLE, AL 35802

Incorporator

Name Role Address
SHADINGER, CRAIG G Incorporator 4 TURNBRIDGE LANEHUNTSVILLE, AL 35802

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State