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DAVID HATHEWAY DMD LLC

Details

Name: DAVID HATHEWAY DMD LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Jul 2015 (9 years ago)
Entity Number: 000-340-270
Register Number: 000340270
County: Mobile
Place of Formation: Mobile County
Registered Office Street Address: 4315 DOWNTOWNER LOOP N STE 200MOBILE, AL 36609
Registered Office Street Address ZIP Code: 36609

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1518315985 2016-05-26 2016-06-03 18100 HWY 104, 18100 HWY 104, ROBERTSDALE, AL, 36567, US 18100 HWY 104, 18100 HWY 104, ROBERTSDALE, AL, 36567, US

Contacts

Phone +1 251-947-5940

Authorized person

Name DR. DAVID A HATHEWAY
Role DENTIST /OWNER
Phone 2519475940

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 6197
State AL
Is Primary Yes

Agent

Name Role
COOK, ANDY Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State