| Name: | D. Kennon Curtis, Jr., DMD P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 08 Sep 2015 (9 years ago) |
| Entity Number: | 000-344-272 |
| Register Number: | 000344272 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 7771 HIGHWAY 72 WEST UNIT BMADISON, AL 35758 |
| Principal Address ZIP Code: | 35758 |
| Authorized Capital: | 1000@$1.00PV |
Activities
DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386017481 | 2015-11-11 | 2015-11-11 | 7771 HIGHWAY 72 W, STE B, MADISON, AL, 357588813, US | 7771 HIGHWAY 72 W, STE B, MADISON, AL, 357588813, US | |||||||||||||||||||||||||
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| Phone | +1 256-325-6595 |
| Fax | 2563256597 |
Authorized person
| Name | DR. DAVID KENNON CURTIS JR. |
| Role | OWNER |
| Phone | 2563256595 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 6217 C1 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1487939435 |
| State | AL |
| Name | Role |
|---|---|
| CURTIS, D K JR | Agent |
| Name | Role | Address |
|---|---|---|
| CROWELL, JOHN W | Incorporator | 322 MAIN STREETCOLUMBUS, MS 39701 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2020-11-24 | Capital Change | 100 Authorized Paid In | 1000@$1.00PV Authorized undefined Paid In |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
