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Walter H. Burgess DMD, P.C.

Details

Name: Walter H. Burgess DMD, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Mar 2015 (10 years ago) (Companies founded in March 2015)
Entity Number: 000-330-451
Register Number: 000330451
ZIP code: 36467 (Companies in Covington, 36467)
County: Covington
Place of Formation: Covington County
Registered Office Street Address: 104 EAST GUNTER AVENUEOPP, AL 36467
Authorized Capital: 20 @ $1.00 PV

Activities PRACTICE OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811350622 2016-03-30 2016-04-05 104 E GUNTER AVE, OPP, AL, 364671604, US 104 E GUNTER AVE, OPP, AL, 364671604, US

Contacts

Phone +1 334-493-3501
Fax 3344933502

Authorized person

Name DR. WALTER H BURGESS
Role DENTIST
Phone 3344933501

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 5538
State AL
Is Primary Yes

Agent

Name Role Address
BURGESS, WALTER H Agent 104 EAST GUNTER AVENUEOPP, AL 36467

Incorporator

Name Role Address
BURGESS, WALTER H Incorporator 104 EAST GUNTER AVENUEOPP, AL 36467

Director

Name Role Address
BURGESS, WALTER H Director 104 EAST GUNTER AVENUEOPP, AL 36467

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State