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Sharon New Glass, D.M.D., LLC

Details

Name: Sharon New Glass, D.M.D., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 Jul 2014 (10 years ago)
Entity Number: 000-315-310
Register Number: 000315310
County: Shelby
Place of Formation: Jefferson County
Principal Address: 9850 HIGHWAY 25CALERA, AL 35040
Principal Address ZIP Code: 35040

Activities DENTAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1285037739 2014-09-29 2014-09-29 105 MEDICAL CENTER DR, CLANTON, AL, 350452331, US 105 MEDICAL CENTER DR, CLANTON, AL, 350452331, US

Contacts

Phone +1 205-755-1111
Fax 2057558448

Authorized person

Name SHARON GLASS
Role OWNER
Phone 2057551111

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 6129
State AL
Is Primary Yes

Agent

Name Role Address
HASTY, WILLIAM D JR Agent 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216

Organizer

Name Role Address
GLASS, SHARON NEW Organizer 9850 HIGHWAY 25CALERA, AL 35040
HASTY, WILLIAM D JR Organizer 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State