| Name: | AL DOTHAN DENTAL PROFESSIONALS, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 Aug 2019 (5 years ago) (Companies founded in August 2019) |
| Entity Number: | 000-586-314 |
| Register Number: | 000586314 |
| ZIP code: | 36207 (Companies in Calhoun, 36207) |
| County: | Calhoun |
| Place of Formation: | Montgomery County |
| Principal Address: | 1695 GOLDEN SPRINGS ROADANNISTON, AL 36207 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
TO ENGAGE IN THE PROFESSION OF DENTISTRY & ANY LAWFUL ACTIVITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316580046 | 2019-10-25 | 2020-07-30 | 2505 21ST AVE S STE 204, NASHVILLE, TN, 372125652, US | 100 METRO DR, DOTHAN, AL, 363031985, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 678-372-7358 |
| Phone | +1 334-699-5555 |
Authorized person
| Name | MARTHA J HARP |
| Role | DIRECTOR, REVENUE CYCLE OPERATIONS |
| Phone | 6783727358 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role | Address |
|---|---|---|
| PHILLIPS, TRAVIS P. | Director | 1695 GOLDEN SPRINGS ROADANNISTON, AL 36207 |
| Name | Role | Address |
|---|---|---|
| MANDEL, ALEXANDER | Incorporator | 200 PARK AVENUENEW YORK, NY 10166 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
