| Name: | E. A. Kivus, D.D.S., PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 06 Jun 2016 (8 years ago) |
| Entity Number: | 000-364-401 |
| Register Number: | 000364401 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 1310 ALFORD AVEBIRMINGHAM, AL 35226 |
| Principal Address ZIP Code: | 35226 |
| Authorized Capital: | 200 |
Activities
THE PERFORMANCE OF PERIODONTAL PROFESSIONAL SERVICES.
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568815694 | 2016-07-13 | 2016-07-13 | 1310 ALFORD AVE, HOOVER, AL, 352263199, US | 1310 ALFORD AVE, HOOVER, AL, 352263199, US | |||||||||||||||||||
|
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| Phone | +1 205-823-3461 |
| Fax | 2049783752 |
Authorized person
| Name | ELIZABETH ANN KIVUS |
| Role | OWNER |
| Phone | 2058233461 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 6222 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KIVUS, ELIZABETH | Agent | 1310 ALFORD AVEBIRMINGHAM, AL 35226 |
| Name | Role | Address |
|---|---|---|
| SAVAGE, TYLER J | Incorporator | 1600 BAUSH & LOMB PLACEROCHESTER, NY 14604 |
| Name | Role | Address |
|---|---|---|
| KIVUS, ELIZABETH | Director | 1310 ALFORD AVEBIRMINGHAM, AL 35226 |
Date of last update: 04 Aug 2024
Sources: Alabama Secretary of State
