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Clanton Family Dentistry, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
SMITH, CHRISTOPHER W Agent

Organizer

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