| Name: | Dr. Clark Thomas, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 11 Aug 2017 (7 years ago) |
| Entity Number: | 000-398-836 |
| Register Number: | 000398836 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 721 MONTCLAIR ROADBIRMINGHAM, AL 35213 |
| Principal Address ZIP Code: | 35213 |
| Authorized Capital: | 1,000 @ $1/PV |
Activities
PROVIDE PROGESSIONAL DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346769114 | 2017-09-13 | 2022-07-21 | 721 MONTCLAIR RD, BIRMINGHAM, AL, 352131905, US | 721 MONTCLAIR RD, BIRMINGHAM, AL, 352131905, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 205-879-6150 |
| Fax | 2053803406 |
Authorized person
| Name | TRACY SALDANA |
| Role | FINANCIAL COORDINATOR |
| Phone | 2058796150 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 5122 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMAS, CLARK | Agent | 3420 WATER OAK DRIVEBIRMINGHAM, AL 35243 |
| Name | Role | Address |
|---|---|---|
| THOMAS, CLARK | Incorporator | 3420 WATER OAK DRIVEBIRMINGHAM, AL 35243 |
| Name | Role | Address |
|---|---|---|
| THOMAS, CLARK | Director | 3420 WATER OAK DRIVEBIRMINGHAM, AL 35243 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
