| Name: | Auburn Periodontics and Implant Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 28 Jan 2015 (10 years ago) |
| Entity Number: | 000-327-188 |
| Register Number: | 000327188 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 8318 LIGHTFOOT COURTAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
| Authorized Capital: | 1,000 @ $.01PV |
Activities
RENDER PROFESSIONAL DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427429661 | 2015-10-14 | 2015-10-14 | 670 N COLLEGE ST STE D, AUBURN, AL, 368303030, US | 670 N COLLEGE ST STE D, AUBURN, AL, 368303030, US | |||||||||||||||||
|
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| Phone | +1 334-209-1352 |
Authorized person
| Name | DR. BRITANY FABIAN MATIN |
| Role | PRESIDENT/PERIODONTIST |
| Phone | 3344440571 |
Taxonomy
| Taxonomy Code | 1223P0300X - Periodontist |
| License Number | 5961 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATIN, BRITANY | Agent | 8318 LIGHTFOOT COURTAUBURN, AL 36830 |
| Name | Role | Address |
|---|---|---|
| MATIN, BRITANY | Director | 8318 LIGHTFOOT COURTAUBURN, AL 36830 |
| Name | Role | Address |
|---|---|---|
| ANDERSON, BRAD S | Incorporator | 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203-1112 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
