| Name: | Vandervoort Family Dentistry, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 25 May 2018 (6 years ago) |
| Entity Number: | 000-519-699 |
| Register Number: | 000519699 |
| Historical Names: |
Tuscaloosa Dental Associates, P.C.
|
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 2919 HAWTHORNE CIRCLETUSCALOOSA, AL 35406 |
| Registered Office Street Address ZIP Code: | 35406 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841785052 | 2018-06-29 | 2020-01-02 | 217 MCFARLAND CIR N, TUSCALOOSA, AL, 354061800, US | 217 MCFARLAND CIR N, TUSCALOOSA, AL, 354061800, US | |||||||||||||||||||
|
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| Phone | +1 205-345-7755 |
| Fax | 2053439075 |
Authorized person
| Name | DR. WILLIAM MAURY VANDERVOORT |
| Role | OWNER |
| Phone | 2053457755 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 6103 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| VANDERVOORT, WILLIAM M | Agent |
| Name | Role | Address |
|---|---|---|
| FLEMING, KELLI C | Organizer | 420 N. 20TH STREET, SUITE 3400BIRMINGHAM, AL 35203 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2019-10-22 | Name Change | Tuscaloosa Dental Associates, P.C. | Vandervoort Family Dentistry, P.C. |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
