| Name: | Floss Family Dentistry, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 17 Nov 2017 (7 years ago) |
| Entity Number: | 000-408-517 |
| Register Number: | 000408517 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 4643 CAMP COLEMAN RDTRUSSVILLE, AL 35173 |
| Registered Office Street Address ZIP Code: | 35173 |
| Authorized Capital: | 1000 @ $1.00 PV |
Activities
PRACTICE OF DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740794635 | 2017-11-30 | 2017-11-30 | 31 HONEYSUCKLE LN, MOUNTAIN BRK, AL, 352133011, US | 27 CHURCH ST, MOUNTAIN BRK, AL, 352133701, US | |||||||||||||||||
|
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| Phone | +1 205-218-9823 |
Authorized person
| Name | DR. CHRISTIAN NELSON |
| Role | PRESIDENT |
| Phone | 2052189823 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 5210 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NELSON, CHRISTIAN S | Agent |
| Name | Role | Address |
|---|---|---|
| NELSON, CHRISTIAN STEVENS | Director | 4643 CAMP COLEMAN RDTRUSSVILLE, AL 35173 |
| MCCULLOUGH, SUZANNE TEEL | Director | 4643 CAMP COLEMAN RDTRUSSVILLE, AL 35173 |
| Name | Role | Address |
|---|---|---|
| MAXEY, STUART M | Incorporator | 1819 FIFTH AVENUE NBIRMINGHAM, AL 35203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
