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Ford's Family Dentistry PC

Details

Name: Ford's Family Dentistry PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 21 Jun 2021 (3 years ago) (Companies founded in June 2021)
Entity Number: 000-868-756
Register Number: 000868756
ZIP code: 35212 (Companies in Jefferson, 35212)
County: Jefferson
Place of Formation: Alabama
Principal Mailing Address: 7104 2nd Avenue NorthBirmingham, AL 35206
Principal Address: #6 North 61st StreetBirmingham, AL 35212
Authorized Capital: 100

Activities To do general dentistry

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992200448 2018-03-27 2018-03-27 6 61ST STREET NORTH, BIRMINGHAM, AL, 35212, US 6 61ST STREET NORTH, BIRMINGHAM, AL, 35212, US

Contacts

Phone +1 205-591-8325
Fax 2055918324

Authorized person

Name ALFRED FORD
Role DENTIST
Phone 2055918325

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 4297
State AL
Is Primary Yes

Agent

Name Role
Ford, Alfred Ford Agent

Incorporator

Name Role Address
Ford, Alfred Incorporator #6 North 61st StreetBirmingham, AL 35212

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State