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Brooks Orthodontics, PC

Details

Name: Brooks Orthodontics, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 18 Sep 2020 (4 years ago) (Companies founded in September 2020)
Entity Number: 000-648-294
Register Number: 000648294
ZIP code: 35243 (Companies in Jefferson, 35243)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 3108 BLUE LAKE DR STE 200BIRMINGHAM, AL 35243
Authorized Capital: 100@$1.00PV

Activities PRACTICE ORTHODONTICS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932779063 2021-06-30 2021-06-30 4643 CAMP COLEMAN RD STE 101, TRUSSVILLE, AL, 351732838, US 4643 CAMP COLEMAN RD STE 101, TRUSSVILLE, AL, 351732838, US

Contacts

Phone +1 205-537-3008
Fax 2052786745

Authorized person

Name DR. TERRY MICHAEL BROOKS JR.
Role PRESIDENT/ORTHODONTIST
Phone 2055373008

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

Agent

Name Role
GATEHOUSE LAW LLC Agent

Director

Name Role Address
BROOKS, MICHAEL Director 3108 BLUE LAKE DR STE 200BIRMINGHAM, AL 35243

Incorporator

Name Role Address
FLOWERS, CHRISTIAN Incorporator 3108 BLUE LAKE DR STE 200BIRMINGHAM, AL 35243

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State