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The Alabama Center for Oral Surgery and Dental Implants, PC

Details

Name: The Alabama Center for Oral Surgery and Dental Implants, PC
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 24 Feb 2023 (2 years ago) (Companies founded in February 2023)
Entity Number: 001-065-273
Register Number: 001065273
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Alabama
Principal Address: 188 North Foster Street, Suite 203Dothan, AL 36303
Authorized Capital: 300

Activities To provide oral surgery and dental implants

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417633520 2023-06-23 2023-06-23 188 N FOSTER ST STE 203, DOTHAN, AL, 363034568, US 188 N FOSTER ST STE 203, DOTHAN, AL, 363034568, US

Contacts

Phone +1 334-697-6453

Authorized person

Name DONNA MARIE DAVIDSON
Role OFFICE MANAGER
Phone 8504191244

Taxonomy

Taxonomy Code 261QS0112X - Oral and Maxillofacial Surgery Clinic/Center
Is Primary Yes

Agent

Name Role Address
Tolley, Barrett DDS Agent 188 North Foster Street, Suite 203Dothan, AL 36303

Incorporator

Name Role Address
Tolley, Barrett DDS Incorporator 188 North Foster Street, Suite 203Dothan, AL 36303

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State