| Name: | Jason R. Miller, D.M.D., M.D., P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 26 Apr 2011 (14 years ago) |
| Entity Number: | 000-011-834 |
| Register Number: | 000011834 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 910 ADAMS STREET SUITE 215HUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | 1,000 @ $.01 PV |
Activities
DENTISTRY/MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346532611 | 2011-05-05 | 2011-05-05 | 910 ADAMS ST SE, STE. 215, HUNTSVILLE, AL, 358013730, US | 910 ADAMS ST SE, STE. 215, HUNTSVILLE, AL, 358013730, US | |||||||||||||||||||
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| Phone | +1 256-265-4950 |
| Fax | 2562654949 |
Authorized person
| Name | DR. JASON RUSSEL MILLER |
| Role | OWNER |
| Phone | 2562654950 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | MD.25550 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILLER, JASON R | Agent | 910 ADAMS STREET SEHUNTSVILLE, AL 35801 |
| Name | Role | Address |
|---|---|---|
| MILLER, JASON R | Incorporator | 910 ADAMS STREET SEHUNTSVILLE, AL 35801 |
| Name | Role | Address |
|---|---|---|
| MILLER, JASON R | Director | 910 ADAMS STREET SEHUNTSVILLE, AL 35801 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
