| Name: | Gissendaner Family Dentistry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Jul 2014 (10 years ago) |
| Entity Number: | 000-313-150 |
| Register Number: | 000313150 |
| County: | Talladega |
| Place of Formation: | Talladega County |
| Principal Address: | 129 NORTH STREET EASTTALLADEGA, AL 35160 |
| Principal Address ZIP Code: | 35160 |
| Registered Office Street Address: | 480 HILLANDELL DRIVEBIRMINGHAM, AL 35244 |
| Registered Office Street Address ZIP Code: | 35244 |
Activities
GENERAL FAMILY DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023427242 | 2014-08-13 | 2014-08-13 | 129 NORTH ST E, TALLADEGA, AL, 351602188, US | 129 NORTH ST E, TALLADEGA, AL, 351602188, US | |||||||||||||||||||
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| Phone | +1 256-362-6861 |
| Fax | 2563620932 |
Authorized person
| Name | ELAINE D GISSENDANER |
| Role | OWNER |
| Phone | 2563626861 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 4569 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GISSENDANER, ELAINE D | Agent | 480 HILLANDELL DRIVEBIRMINGHAM, AL 35244 |
| Name | Role | Address |
|---|---|---|
| GISSENDANER, ELAINE D | Organizer | 480 HILLANDELL DRIVEBIRMINGHAM, AL 35244 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
