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Fife Family Dentistry, LLC

Details

Name: Fife Family Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Aug 2014 (10 years ago) (Companies founded in August 2014)
Entity Number: 000-315-621
Register Number: 000315621
ZIP code: 36116 (Companies in Montgomery, 36116)
County: Montgomery
Place of Formation: Autauga County
Principal Address: 7801 LONG ACREMONTGOMERY, AL 36116

Activities PROFESSIONAL DENTAL SERVICES
ANY LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912309287 2014-09-18 2014-09-18 1783 E MAIN ST, PRATTVILLE, AL, 360665562, US 1783 E MAIN ST, PRATTVILLE, AL, 360665562, US

Contacts

Phone +1 334-361-9959

Authorized person

Name DR. ROBERT NATHAN FIFE JR.
Role OWNER
Phone 3343619959

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 5795
State AL
Is Primary Yes

Agent

Name Role
FIFE, ROBERT N JR Agent

Organizer

Name Role Address
FIFE, ROBERT NATHAN JR Organizer 7801 LONG ACREMONTGOMERY, AL 36116

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State