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Southern Periodontics II, P.C.

Details

Name: Southern Periodontics II, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Jun 2018 (6 years ago) (Companies founded in June 2018)
Entity Number: 000-520-395
Register Number: 000520395
ZIP code: 35901 (Companies in Etowah, 35901)
County: Etowah
Place of Formation: Etowah County
Principal Address: 427 SOUTH 4TH STREETGADSDEN, AL 35901
Authorized Capital: 1000 @ $0.01/PV

Activities PROVIDE PROFESSIONAL DENTAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861986622 2018-06-15 2018-06-15 1023 OXMOOR RD, HOMEWOOD, AL, 352095317, US 1023 OXMOOR RD, HOMEWOOD, AL, 352095317, US

Contacts

Phone +1 256-467-3638

Authorized person

Name DR. COTY HULGAN
Role PRESIDENT
Phone 2564673638

Taxonomy

Taxonomy Code 1223P0300X - Periodontist
License Number 6124
State AL
Is Primary Yes

Agent

Name Role Address
HULGAN, COTY A Agent 427 SOUTH 4TH STREETGADSDEN, AL 35901

Director

Name Role Address
HULGAN, COTY A Director 427 SOUTH 4TH STREETGADSDEN, AL 35901

Incorporator

Name Role Address
ANDERSON, BRAD S Incorporator 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203-1112

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State