| Name: | Hazel Green Dental, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 16 Oct 2013 (11 years ago) (Companies founded in October 2013) |
| Entity Number: | 000-289-618 |
| Register Number: | 000289618 |
| ZIP code: | 35801 (Companies in Madison, 35801) |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 1111 BLUEFIELD AVENUEHUNTSVILLE, AL 35801 |
| Authorized Capital: | 1,000 @ $1 PV |
Activities
PRACTICE OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710306311 | 2014-04-10 | 2014-04-10 | 1111 BLUEFIELD AVE SE, HUNTSVILLE, AL, 358012512, US | 14244 HIGHWAY 231/431 N, HAZEL GREEN, AL, 35750, US | |||||||||||||||||
|
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| Phone | +1 256-829-8878 |
Authorized person
| Name | DR. LUKE JACKSON POWELL |
| Role | DENTIST |
| Phone | 2568298878 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5822 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCKINNEY, EVELYN D | Incorporator | 1819 FIFTH AVE NBIRMINGHAM, AL 35209 |
| Name | Role |
|---|---|
| POWELL, LUKE | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
