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Clay Dental PC

Details

Name: Clay Dental PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 04 Aug 2016 (8 years ago)
Entity Number: 000-369-169
Register Number: 000369169
County: Marshall
Place of Formation: Marshall County
Principal Address: 466 WARRENTON SHORES ROADGUNTERSVILLE, AL 35976
Principal Address ZIP Code: 35976
Authorized Capital: 100@ $1.00PV

Activities DENTAL PRATIONER.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043760622 2016-10-07 2016-10-07 7801 HIGHWAY 59, SUITE F, FOLEY, AL, 36535, US 7801 HIGHWAY 59, SUITE F, FOLEY, AL, 36535, US

Contacts

Phone +1 251-943-5632

Authorized person

Name DR. MICHAEL BRADLEY CLAY
Role PRESIDENT
Phone 2519435632

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 6083C
State AL
Is Primary Yes

Incorporator

Name Role Address
CLAY, MICHAEL Incorporator 466 WARRENTON SHORES ROADGUNTERSVILLE, AL 35976

Agent

Name Role Address
CLAY, MICHAEL Agent 466 WARRENTON SHORES ROADGUNTERSVILLE, AL 35976

Director

Name Role Address
CLAY, MICHAEL Director 466 WARRENTON SHORES ROADGUNTERSVILLE, AL 35976

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State