| Name: | Beitel Pediatric Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 24 Apr 2018 (7 years ago) |
| Entity Number: | 000-517-638 |
| Register Number: | 000517638 |
| Historical Names: |
Beitel PD, P.C.
|
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 580 AIRPORT ROAD SWHUNTSVILLE, AL 35801 |
| Principal Address ZIP Code: | 35801 |
| Authorized Capital: | 1,000 @ $1/PV |
Activities
PEDIATRIC DENTAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821591561 | 2018-03-08 | 2018-03-08 | 580 AIRPORT RD SW, HUNTSVILLE, AL, 358021309, US | 580 AIRPORT RD SW, HUNTSVILLE, AL, 358021309, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 256-883-5050 |
| Fax | 2568833557 |
Authorized person
| Name | ANGIE EDWARDS |
| Role | INSURANCE COORDINATOR |
| Phone | 2568835050 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BEITEL, BRIAN A | Agent | 6 LEDGES MAIN SEHUNTSVILLE, AL 35802 |
| Name | Role | Address |
|---|---|---|
| BEITEL, BRIAN A | Director | 6 LEDGES MAIN SEHUNTSVILLE, AL 35802 |
| Name | Role | Address |
|---|---|---|
| BEITEL, BRIAN A | Incorporator | 6 LEDGES MAIN SEHUNTSVILLE, AL 35802 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2018-06-04 | Name Change | Beitel PD, P.C. | Beitel Pediatric Dentistry, P.C. |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
