| Name: | AL Dental Professionals, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 Feb 2016 (9 years ago) (Companies founded in February 2016) |
| Entity Number: | 000-354-342 |
| Register Number: | 000354342 |
| ZIP code: | 36207 (Companies in Calhoun, 36207) |
| County: | Calhoun |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| Principal Address: | 1695 GOLDEN SPRINGS ROADANNISTON, AL 36207 |
| Authorized Capital: | 1,000 @ .001 PV |
Activities
DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821832585 | 2024-06-19 | 2024-06-19 | PO BOX 306179, NASHVILLE, TN, 372306179, US | 1695 GOLDEN SPRINGS RD, ANNISTON, AL, 362077097, US | |||||||||||||
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| Phone | +1 256-831-1333 |
Authorized person
| Name | MARNIE SANZ |
| Role | CREDENTIALING LEAD |
| Phone | 6152062173 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, TRAVIS P. | Director | 1695 GOLDEN SPRINGS ROADANNISTON, AL 36207 |
| Name | Role | Address |
|---|---|---|
| MOODY, DONALD R | Incorporator | 511 UNION STREET SUITE 2700NASHVILLE, TN 37219 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
