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OAK PARK DENTAL, LLC

Details

Name: OAK PARK DENTAL, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Jan 2013 (12 years ago) (Companies founded in January 2013)
Entity Number: 000-272-206
Register Number: 000272206
Historical Names: Blackmon Family Dentistry, LLC
ZIP code: 36081 (Companies in Pike, 36081)
County: Pike
Place of Formation: Pike County
Registered Office Street Address: 815 SOUTH BRUNDIDGE STREETTROY, AL 36081
Registered Office Mailing Address: PO BOX 248TROY, AL 36081

Activities OWN AND OPERATE A FAMILY DENTAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457052805 2023-03-13 2023-03-13 PO BOX 248, TROY, AL, 360810248, US 534 BOLL WEEVIL CIR, ENTERPRISE, AL, 363304012, US

Contacts

Phone +1 334-566-8266

Authorized person

Name GABARYELE BATTISE
Role OFFICE MANAGER
Phone 3345668266

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
BLACKMON, KENNETH A JR Agent

Member

Name Role
BLACKMON, KENNETH A JR Member

Organizer

Name Role Address
BLACKMON, KENNETH ALLEN JR Organizer 216 PALOS VERDES DRIVETROY, AL 36079

Events

Event Date Event Type Old Value New Value
2014-06-26 Name Change Blackmon Family Dentistry, LLC OAK PARK DENTAL, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State