| Name: | Southern Smiles PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 19 Mar 2013 (12 years ago) |
| Entity Number: | 000-278-083 |
| Register Number: | 000278083 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 6350 AIRPORT BLVDMOBILE, AL 36608 |
| Principal Address ZIP Code: | 36608 |
| Authorized Capital: | 100 |
Activities
DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508203605 | 2013-05-29 | 2013-05-29 | 6350 AIRPORT BLVD, MOBILE, AL, 366083163, US | 6350 AIRPORT BLVD, MOBILE, AL, 366083163, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 251-344-0230 |
Authorized person
| Name | DR. DAVID A KREMPA |
| Role | PRESIDENT |
| Phone | 2513440230 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 5994 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KREMPA, DAVID A | Incorporator | 6350 AIRPORT BLVDMOBILE, AL 36608 |
| Name | Role | Address |
|---|---|---|
| KREMPA, DAVID A | Agent | 6350 AIRPORT BLVDMOBILE, AL 36608 |
| Name | Role | Address |
|---|---|---|
| KREMPA, DAVID ALEXANDER | Director | 11435 COUNTY ROAD 54 WESTDAPHNE, AL 36526 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
