Name: | Island Orthodontics, L.L.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 13 Oct 1998 (26 years ago) (Companies founded in October 1998) |
Entity Number: | 000-198-448 |
Register Number: | 000198448 |
Historical Names: |
Renee Allen Dyken, D.M.D., M.S., P.C.
Island Orthodontics, P.C. |
ZIP code: | 36542 (Companies in Baldwin, 36542) |
County: | Baldwin |
Place of Formation: | Baldwin County |
Registered Office Street Address: | 241 CLUB HOUSE DRIVEGULF SHORES, AL 36542 |
Activities
PRACTICE OF DENTISTRY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1992909600 | 2007-06-14 | 2020-08-22 | 241 CLUBHOUSE DR, GULF SHORES, AL, 365423415, US | 241 CLUBHOUSE DR, GULF SHORES, AL, 365423415, US | |||||||||||||||||||
|
Phone | +1 251-968-1310 |
Fax | 2519682036 |
Authorized person
Name | DR. RENEE ALLEN DYKEN |
Role | PRESIDENT |
Phone | 2519681310 |
Taxonomy
Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
License Number | 4630 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DYKEN, RENEE A | Agent | 241 CLUBHOUSE DRIVEGULF SHORES, AL 36542 |
Name | Role | Address |
---|---|---|
OLMSTEAD, CRAIG D | Organizer | 234 OFFICE PARK DRIVEGULF SHORES, AL 36542 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2019-12-31 | Name Change | Island Orthodontics, P.C. | Island Orthodontics, L.L.C. |
2006-01-30 | Name Change | Renee Allen Dyken, D.M.D., M.S., P.C. | Island Orthodontics, P.C. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State