Name: | Clanton Family Dentistry, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 10 May 2011 (14 years ago) |
Entity Number: | 000-011-964 |
Register Number: | 000011964 |
County: | Chilton |
Place of Formation: | Chilton County |
Registered Office Street Address: | 405 2ND AVE NCLANTON, AL 35045 |
Registered Office Street Address ZIP Code: | 35045 |
Activities
DENTISTRY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1588957195 | 2011-05-16 | 2011-05-16 | 405 2ND AVE N, CLANTON, AL, 350453461, US | 405 2ND AVE N, CLANTON, AL, 350453461, US | |||||||||||||||||||
|
Phone | +1 205-755-1960 |
Fax | 2057551960 |
Authorized person
Name | DR. CHRISTOPHER WADE SMITH |
Role | DENTIST |
Phone | 2057551960 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
License Number | 5769 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
SMITH, CHRISTOPHER W | Agent |
Name | Role | Address |
---|---|---|
SMITH, CHRISTOPHER WADE | Organizer | 823 RIVERCHASE PARKWAY WESTHOOVER, AL 35244 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State