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Oxford Pediatric Dental Associates, LLC

Details

Name: Oxford Pediatric Dental Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Apr 2015 (10 years ago)
Entity Number: 000-334-860
Register Number: 000334860
County: Calhoun
Place of Formation: Calhoun County
Registered Office Street Address: 1409 HAMRIC DRIVEOXFORD, AL 36203
Registered Office Street Address ZIP Code: 36203

Activities DENTAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225415771 2015-05-05 2015-05-05 50 CROPWELL DR, SUITE 1, PELL CITY, AL, 351287552, US 1409 HAMRIC DR E, OXFORD, AL, 362031933, US

Contacts

Phone +1 205-338-4227
Fax 2053385558

Authorized person

Name DR. RICHARD BAKER CHAMBLISS JR.
Role PARTNER
Phone 2053384227

Taxonomy

Taxonomy Code 1223P0221X - Pediatric Dentist
Is Primary Yes

Agent

Name Role Address
CHAMBLISS, RICHARD B JR Agent 3000 SOUTHLAKE PARK #200BIRMINGHAM, AL 35244

Organizer

Name Role Address
CHAMBLISS, RICHARD B JR Organizer 3000 SOUTHLAKE PARK #200BIRMINGHAM, AL 35244
IRBY, RUSSELL L III Organizer 1819 5TH AVENUE NORTH, SUITE 1000BIRMINGHAM, AL 35203

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State