| Name: | Dental Associates of Rogersville PLLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Sep 2010 (14 years ago) (Companies founded in September 2010) |
| Entity Number: | 000-302-203 |
| Register Number: | 000302203 |
| Historical Names: |
Dental Associates of Rogersville L.L.C.
|
| ZIP code: | 35652 (Companies in Lauderdale, 35652) |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET - SUITE 605MONTGOMERY, AL 36104 |
| Principal Address: | 16090 HWY 72ROGERSVILLE, AL 35652 |
Activities
MEDICAL FIELD OF DENTISTRY/ORTHODONTICS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013218486 | 2010-11-16 | 2010-11-16 | 16090 HIGHWAY 72, ROGERSVILLE, AL, 356528111, US | 16090 HIGHWAY 72, ROGERSVILLE, AL, 356528111, US | |||||||||||||||||
|
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| Phone | +1 256-247-1000 |
| Fax | 2562471007 |
Authorized person
| Name | DR. SAMUEL G HAWKINS |
| Role | DENTIST |
| Phone | 2563552275 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| RILEY HAWKINS PC | Member | 34011-B HWY 280CHILDERSBURG, AL 35044 |
| ANTONIO E GALES DDS PC | Member | 34011-B HWY 280CHILDERSBURG, AL 35044 |
| JEREMIAH L HARRIS DMD PC | Member | 34011-B HWY 280CHILDERSBURG, AL 35044 |
| GREG HAWKINS DMD PC | Member | 34011-B HWY 280CHILDERSBURG, AL 35044 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2022-11-09 | Name Change | Dental Associates of Rogersville L.L.C. | Dental Associates of Rogersville PLLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
