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Mobile Pediatric Dentistry, Inc.

Details

Name: Mobile Pediatric Dentistry, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 01 Oct 2013 (11 years ago) (Companies founded in October 2013)
Entity Number: 000-288-630
Register Number: 000288630
ZIP code: 36695 (Companies in Mobile, 36695)
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 1105 HILLCREST ROADMOBILE, AL 36695
Authorized Capital: 1000 @$1PV

Activities DENTAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447681861 2013-12-11 2013-12-11 1105 HILLCREST RD STE B, MOBILE, AL, 366953921, US 1105 HILLCREST RD STE B, MOBILE, AL, 366953921, US

Contacts

Phone +1 251-634-3835
Fax 2516343837

Authorized person

Name DR. STEPHEN E. GREENLEAF
Role DENTIST/OWNER
Phone 2516343835

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 5075
State AL
Is Primary Yes

Agent

Name Role Address
GREENLEAF, STEPHEN E III Agent 1105 HILLCREST ROADMOBILE, AL 36695

Director

Name Role Address
GREENLEAF, STEPHEN E III Director 1105 HILLCREST ROADMOBILE, AL 36695

Incorporator

Name Role Address
MCGINLEY, ROBERT B JR Incorporator RSA BATTLE HOUSE TOWERMOBILE, AL 36602

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State