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Southern Smiles Old Shell PC

Details

Name: Southern Smiles Old Shell PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 02 Aug 2013 (11 years ago)
Date of dissolution: 25 Sep 2017
Entity Number: 000-286-126
Register Number: 000286126
County: Mobile
Place of Formation: Mobile County
Principal Mailing Address: 6350 AIRPORT BLVDMOBILE, AL 36608
Principal Mailing Address ZIP Code: 36608
Principal Address: 4863 OLD SHELL ROADMOBILE, AL 36608
Principal Address ZIP Code: 36608
Authorized Capital: 100

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457785081 2013-08-30 2013-08-30 4863 OLD SHELL RD, MOBILE, AL, 366082339, US 4863 OLD SHELL RD, MOBILE, AL, 366082339, US

Contacts

Phone +1 251-343-4225

Authorized person

Name DR. DAVID A KREMPA
Role GENERAL DENTIST
Phone 2513434225

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 5994
State AL
Is Primary Yes

Agent

Name Role Address
KREMPA, DAVID A Agent 6350 AIRPORT BLVDMOBILE, AL 36608

Director

Name Role Address
KREMPA, DAVID A Director 6350 AIRPORT BLVDMOBILE, AL 36608

Incorporator

Name Role Address
KREMPA, DAVID A Incorporator 6350 AIRPORT BLVDMOBILE, AL 36608

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State