| Name: | William A. Lovell, III, DMD, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Jul 2011 (13 years ago) (Companies founded in July 2011) |
| Entity Number: | 000-019-276 |
| Register Number: | 000019276 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Mailing Address: | 912 EUCLID AVENUEMOUNTAIN BROOK, AL 35213 |
| Registered Office Street Address: | 310 LE JEUNE WAYHOMEWOOD, AL 35209 |
Activities
ANY LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740672393 | 2015-02-19 | 2015-02-19 | 1900 28TH AVE S, SUITE 109, HOMEWOOD, AL, 352092687, US | 1900 28TH AVE S, SUITE 109, HOMEWOOD, AL, 352092687, US | |||||||||||||||||||||||
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| Phone | +1 205-957-6611 |
Authorized person
| Name | DR. WILLIAM ADRIAN LOVELL III |
| Role | DENTIST/OWNER |
| Phone | 3523182601 |
Taxonomy
| Taxonomy Code | 1223P0221X - Pediatric Dentist |
| License Number | 5816 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1639461155 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LOVELL PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST | 2023 | 452791258 | 2024-06-19 | WILLIAM A. LOVELL, III, DMD, LLC | 7 | |||||||||||||
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| LOVELL PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST | 2022 | 452791258 | 2023-09-27 | WILLIAM A. LOVELL, III, DMD, LLC | 5 | |||||||||||||
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| LOVELL PEDIATRIC DENTISTRY RETIREMENT PLAN & TRUST | 2021 | 452791258 | 2022-09-16 | WILLIAM A. LOVELL, III, DMD, LLC | 6 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| LOVELL, WILLIAM A III | Agent | 912 EUCLID AVENUEMOUNTAIN BROOK, AL 35213 |
| Name | Role | Address |
|---|---|---|
| LOVELL, WILLIAM A III | Organizer | 912 EUCLID AVENUEMOUNTAIN BROOK, AL 35213 |
| MITCHEM, WILLIAM H | Organizer | 501 COMMENDENCIA STREETPENSACOLA, FL 32502 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
