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Adaira Collins DDS, LLC

Details

Name: Adaira Collins DDS, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 23 Jun 2011 (13 years ago) (Companies founded in June 2011)
Entity Number: 000-017-066
Register Number: 000017066
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 700 WASHINGTON STREET STE 1HUNTSVILLE, AL 35801

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336407022 2012-05-01 2012-05-01 8141 HIGHWAY 72 W, STE G, MADISON, AL, 357589569, US 8141 HIGHWAY 72 W, STE G, MADISON, AL, 357589569, US

Contacts

Phone +1 256-263-4383
Fax 8003409450

Authorized person

Name DR. ADAIRA J COLLINS
Role OWNER
Phone 2566843382

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5652
State AL
Is Primary Yes

Agent

Name Role Address
WYNN, KECIA D Agent 103 MATILDA DRIVEHUNTSVILLE, AL 35801

Organizer

Name Role Address
COLLINS, ADAIRA Organizer 138 POPULUS DRIVEHARVEST, AL 35749

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State