| Name: | North Alabama Periodontics and Implant Surgery, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 12 Jul 2018 (6 years ago) |
| Entity Number: | 000-523-877 |
| Register Number: | 000523877 |
| County: | Madison |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 4032 BALMORAL DRIVE SWHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | 1,000@ $1.00PV |
Activities
PRACTICE OF DENTISTRY
ORAL SURGERY
PERIODONITA
ORTHODONTIA
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992273726 | 2018-11-09 | 2018-11-09 | 4032 BALMORAL DR SW, HUNTSVILLE, AL, 358016402, US | 4032 BALMORAL DR SW, HUNTSVILLE, AL, 358016402, US | |||||||||||||||
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| Phone | +1 256-883-4032 |
| Fax | 2568834029 |
Authorized person
| Name | DAVID SUMMERFORD |
| Role | DMD |
| Phone | 2568834032 |
Taxonomy
| Taxonomy Code | 1223P0300X - Periodontist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUMMERFORD, DAVID | Agent | 4032 BALMORAL DRIVE SWHUNTSVILLE, AL 35801 |
| Name | Role | Address |
|---|---|---|
| SUMMERFORD, DAVID | Director | 4032 BALMORAL DRIVE SWHUNTSVILLE, AL 35801 |
| Name | Role | Address |
|---|---|---|
| SUMMERFORD, DAVID | Incorporator | 4032 BALMORAL DRIVE SWHUNTSVILLE, AL 35801 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
