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Scottsboro Family and General Dentistry, P.C.

Details

Name: Scottsboro Family and General Dentistry, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 24 Mar 2016 (9 years ago)
Entity Number: 000-358-247
Register Number: 000358247
County: Jackson
Place of Formation: Jackson County
Principal Address: 420 SOUTH MARKET STREETSCOTTSBORO, AL 35768
Principal Address ZIP Code: 35768
Authorized Capital: 100@

Activities STARTING A SMALL BUSINESS.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083069579 2016-05-03 2016-05-03 420 S MARKET ST, SCOTTSBORO, AL, 357681857, US 420 S MARKET ST, SCOTTSBORO, AL, 357681857, US

Contacts

Phone +1 256-259-4411
Fax 2565745653

Authorized person

Name DR. BARRETT L BRADFORD
Role PRESIDENT
Phone 2562594411

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number D6098
State AL
Is Primary Yes

Incorporator

Name Role Address
BRADFORD, DR.BARRETT L Incorporator 420 SOUTH MARKET STREETSCOTTSBORO, AL 35768

Agent

Name Role Address
BRADFORD, DR.BARRETT L Agent 420 SOUTH MARKET STREETSCOTTSBORO, AL 35768

Director

Name Role Address
BRADFORD, DR.BARRETT L Director 420 SOUTH MARKET STREETSCOTTSBORO, AL 35768

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State