| Name: | Will Wagner D.M.D., LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Jun 2012 (12 years ago) |
| Entity Number: | 000-070-130 |
| Register Number: | 000070130 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 620 HARTFORD DRIVETUSCALOOSA, AL 35406 |
| Registered Office Street Address ZIP Code: | 35406 |
Activities
DENTISTRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316299076 | 2012-10-04 | 2012-10-04 | 620 HARTFORD DR, TUSCALOOSA, AL, 354061799, US | 1663 MCFARLAND BLVD N, SUITE G-5, TUSCALOOSA, AL, 354062250, US | |||||||||||||||||
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| Phone | +1 205-349-9092 |
Authorized person
| Name | DR. WILL WAGNER |
| Role | MEMBER |
| Phone | 2053499092 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5177 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WAGNER, WILL | Agent | 620 HARTFORD DRIVETUSCALOOSA, AL 35406 |
| Name | Role | Address |
|---|---|---|
| WAGNER, WILL | Organizer | 620 HARTFORD DRIVETUSCALOOSA, AL 35406 |
| PLOTT, ROBERT S | Organizer | 1490 NORTHBANK PARKWAY, SUITE 140TUSCALOOSA, AL 35406-0001 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
