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
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
WYNN, KECIA D | Agent | 103 MATILDA DRIVEHUNTSVILLE, AL 35801 |
Name | Role | Address |
---|---|---|
COLLINS, ADAIRA | Organizer | 138 POPULUS DRIVEHARVEST, AL 35749 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State