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Island Orthodontics, L.L.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
DYKEN, RENEE A Agent 241 CLUBHOUSE DRIVEGULF SHORES, AL 36542

Organizer

Name Role Address
OLMSTEAD, CRAIG D Organizer 234 OFFICE PARK DRIVEGULF SHORES, AL 36542

Events

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