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Vital Smiles Alabama II, P.C.

Details

Name: Vital Smiles Alabama II, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 22 Jan 2019 (6 years ago) (Companies founded in January 2019)
Entity Number: 000-541-003
Register Number: 000541003
ZIP code: 35210 (Companies in Jefferson, 35210)
County: Jefferson
Place of Formation: Montgomery County
Principal Mailing Address: 530 SOUTH MAIN STORANGE, CA 92868
Registered Office Street Address: 2 NORTH JACKSON ST STE 605MONTGOMERY, AL 36104
Principal Address: 1900 CRESTWOOD BLVD SUITE 211BIRMINGHAM, AL 35210
Authorized Capital: 1000 @ $1.00 PV

Activities PRACTICE OF DENTISTRY
ANY LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891327904 2020-02-06 2020-02-06 530 S MAIN ST, ORANGE, CA, 928684525, US 809 BELTLINE RD SW STE A, DECATUR, AL, 356016337, US

Contacts

Phone +1 714-480-3000
Fax 7145716445
Phone +1 256-963-0801
Fax 2569630806

Authorized person

Name MR. PREET TAKKAR
Role CHIEF INFORMATION OFFICER
Phone 7145713372

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes

Director

Name Role Address
ROSE, JOHN S Director 1900 CRESTWOOD BLVD SUITE 211BIRMINGHAM, AL 35210
FORD, COREY Director 1900 CRESTWOOD BLVD SUITE 211BIRMINGHAM, AL 35210

Agent

Name Role
NATIONAL REGISTERED AGENTS INC Agent

Incorporator

Name Role Address
ROSE, JOHN S Incorporator 1900 CRESTWOOD BLVD SUITE 211BIRMINGHAM, AL 35210

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State