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DAVID SHANE WELCH DMD PC

Details

Name: DAVID SHANE WELCH DMD PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 17 Apr 2014 (11 years ago)
Entity Number: 000-308-465
Register Number: 000308465
County: Mobile
Place of Formation: Mobile County
Principal Address: 121 BAYOU AVE EASTSATSUMA, AL 36572
Principal Address ZIP Code: 36572
Authorized Capital: 1000 @ $1 PV

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699170712 2014-10-31 2014-10-31 6300 AIRPORT BLVD STE A, MOBILE, AL, 366083158, US 6300 AIRPORT BLVD STE A, MOBILE, AL, 366083158, US

Contacts

Phone +1 251-342-0015

Authorized person

Name DR. DAVID SHANE WELCH
Role DENTIST/OWNER
Phone 2513777255

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 6013
State AL
Is Primary Yes

Agent

Name Role Address
WELCH, DAVID S Agent 121 BAYOU AVE EASTSATSUMA, AL 36572

Director

Name Role Address
WELCH, DAVID S Director 121 BAYOU AVE EASTSATSUMA, AL 36572

Incorporator

Name Role Address
WELCH, DAVID S Incorporator 121 BAYOU AVE EASTSATSUMA, AL 36572

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State