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Precious Smiles Family Dentistry, LLC

Details

Name: Precious Smiles Family Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 May 2013 (12 years ago)
Entity Number: 000-280-166
Register Number: 000280166
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 1041 BALCH ROAD STE 100MADISON, AL 35758
Registered Office Street Address ZIP Code: 35758

Activities GENERAL DENTAL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003207796 2015-02-17 2015-02-17 1041 BALCH RD, SUITE 100, MADISON, AL, 357588343, US 1041 BALCH RD, SUITE 100, MADISON, AL, 357588343, US

Contacts

Phone +1 256-434-5179
Fax 2564678068

Authorized person

Name DR. PRECIOUS MONTEY MCGREGOR-WILTZ
Role DENTIST/OWNER
Phone 5044445236

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 5908
State AL
Is Primary Yes

Agent

Name Role Address
MCGREGOR-WILTZ, PRECIOUS Agent 196 JEFF ROAD APT #2608HUNTSVILLE, AL 35806

Organizer

Name Role Address
MCGREGOR-WILTZ, PRECIOUS Organizer 196 JEFF ROAD APT #2608HUNTSVILLE, AL 35806

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State