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Ryan A. Draiss, DMD, LLC

Details

Name: Ryan A. Draiss, DMD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 13 Apr 2011 (14 years ago)
Entity Number: 000-009-412
Register Number: 000009412
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 131 PINEY WOODS DRIVEHELENA, AL 35080
Registered Office Street Address ZIP Code: 35080

Activities PROFESSIONAL DENTAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457629198 2011-12-08 2011-12-08 407 CHELSEA CROSSROADS, CHELSEA, AL, 350433901, US 407 CHELSEA CROSSROADS, CHELSEA, AL, 350433901, US

Contacts

Phone +1 205-370-7499

Authorized person

Name DR. RYAN A DRAISS
Role OWNER
Phone 2053707499

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5781
State AL
Is Primary Yes

Agent

Name Role Address
DRAISS, RYAN A Agent 131 PINEY WOODS DRIVEHELENA, AL 35080

Organizer

Name Role Address
DRAISS, RYAN A Organizer 131 PINEY WOODS DRIVEHELENA, AL 35080
ANDERSON, BRAD S Organizer 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203-1112

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State