| Name: | Fairhope Cosmetic and Family Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 18 Oct 2017 (7 years ago) |
| Entity Number: | 000-406-215 |
| Register Number: | 000406215 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 101 FLY CREEK AVENUE SUITE 301FAIRHOPE, AL 36532 |
| Registered Office Street Address ZIP Code: | 36532 |
| Authorized Capital: | 1000 |
| Paid Share Capital: | $1.00/SHARE |
Activities
PROFESSIONAL DENTAL AND RELATED SERVICES TO THE GENERAL PUBLIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477067783 | 2017-11-22 | 2017-11-22 | 101 FLY CREEK AVE STE 301, FAIRHOPE, AL, 365328310, US | 101 FLY CREEK AVE STE 301, FAIRHOPE, AL, 365328310, US | |||||||||||||||||
|
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| Phone | +1 251-990-7797 |
Authorized person
| Name | DR. JAMES THEODORE MELTON JR. |
| Role | OWNER |
| Phone | 2519907797 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 3784 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MELTON, JAMES T | Agent | 101 FLY CREEK AVENUE SUITE 301FAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| MELTON, JAMES T | Director | 101 FLY CREEK AVENUE SUITE 301FAIRHOPE, AL 36532 |
| Name | Role | Address |
|---|---|---|
| WILSON, E H JR | Incorporator | P.O. BOX 2148MONTGOMERY, AL 36102 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
