| Name: | Island Orthodontics Mobile, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Dec 2010 (14 years ago) |
| Entity Number: | 000-265-972 |
| Register Number: | 000265972 |
| Historical Names: |
Island Orthodontics Mobile, P.C.
|
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Registered Office Street Address: | 241 CLUBHOUSE DRGULF SHORES, AL 36542 |
| Registered Office Street Address ZIP Code: | 36542 |
Activities
PROFESSIONAL DENTISTRY/ORTHODONTICS SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083453278 | 2024-05-20 | 2024-05-20 | 4720 AIPORT BLVD, SUITE B, MOBILE, AL, 36608, US | 4720 AIPORT BLVD, SUITE B, MOBILE, AL, 36608, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 251-344-7604 |
Authorized person
| Name | RENEE DYKEN |
| Role | OWNER/ORTHDONTIST |
| Phone | 2512233896 |
Taxonomy
| Taxonomy Code | 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist |
| 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 |
|---|---|---|---|
| 2018-12-19 | Name Change | Island Orthodontics Mobile, P.C. | Island Orthodontics Mobile, L.L.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
