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AL Dental Professionals II, P.C.

Details

Name: AL Dental Professionals II, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Dec 2016 (8 years ago) (Companies founded in December 2016)
Entity Number: 000-378-969
Register Number: 000378969
ZIP code: 36207 (Companies in Calhoun, 36207)
County: Calhoun
Place of Formation: Montgomery County
Principal Address: 1695 GOLDEN SPRINGS ROADANNISTON, AL 36207
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Activities ENGAGE IN THE PROFESSION OF DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174093223 2018-12-03 2018-12-03 PO BOX 306179, NASHVILLE, TN, 372306179, US 3140 OVERTON RD, MOUNTAIN BRK, AL, 352232871, US

Contacts

Phone +1 440-241-1931
Fax 8888685803
Phone +1 205-967-8636
Fax 2059678604

Authorized person

Name KATIE WORKMAN
Role ANALYST, REVENUE CYCLE MANAGEMENT
Phone 4402411931

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Incorporator

Name Role Address
MOODY, DONALD R Incorporator 511 UNION STREET SUITE 2700NASHVILLE, TN 37219

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State