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Austin C. Powell, D.M.D., LLC

Details

Name: Austin C. Powell, D.M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 28 Dec 2011 (13 years ago) (Companies founded in December 2011)
Entity Number: 000-035-069
Register Number: 000035069
ZIP code: 35209 (Companies in Jefferson, 35209)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 317 EDGEWOOD BOULEVARDBIRMINGHAM, AL 35209

Activities PRACTICE PEDIATRIC DENTISTRY AND SERVICES ANCILLARY THERETO

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003166281 2012-09-14 2012-09-14 1626 29TH CT S, HOMEWOOD, AL, 352092442, US 1626 29TH CT S, HOMEWOOD, AL, 352092442, US

Contacts

Phone +1 205-538-3335

Authorized person

Name DR. AUSTIN POWELL
Role MANAGER
Phone 2055383335

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
License Number 5627
State AL
Is Primary Yes

Agent

Name Role Address
POWELL, AUSTIN C Agent 317 EDGEWOOD BOULEVARDBIRMINGHAM, AL 35209

Organizer

Name Role Address
POWELL, AUSTIN C Organizer 317 EDGEWOOD BOULEVARDBIRMINGHAM, AL 35209

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State