| Name: | Jacob L. Turner DMD, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 16 Oct 2020 (4 years ago) (Companies founded in October 2020) |
| Entity Number: | 000-793-070 |
| Register Number: | 000793070 |
| ZIP code: | 35950 (Companies in Marshall, 35950) |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Registered Office Street Address: | 100 A ANDREW STALBERTVILLE, AL 35950 |
| Authorized Capital: | 1000@$5.00PV |
Activities
PROVIDING DENTAL SERVICES
HEALTH
PREVENTATIVE CARE & EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871192476 | 2020-10-23 | 2020-10-23 | 100 A ANDREW STREET, ALBERTVILLE, AL, 35950, US | 100 A ANDREW STREET, ALBERTVILLE, AL, 35950, US | |||||||||||||||||||||
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| Phone | +1 256-878-9200 |
| Fax | 2563644100 |
Authorized person
| Name | DR. JACOB L TURNER |
| Role | OWNER |
| Phone | 2568789200 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 203784 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| TURNER, JAKE | Agent | 1134 MARYLAND LANEVESTAVIA HILLS, AL 35216 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
