| Name: | Piedmont Dental Group, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 20 Jul 2015 (9 years ago) (Companies founded in July 2015) |
| Entity Number: | 000-340-421 |
| Register Number: | 000340421 |
| ZIP code: | 35960 (Companies in Cherokee, 35960) |
| County: | Cherokee |
| Place of Formation: | Cherokee County |
| Registered Office Street Address: | 1780 W MAIN STREETCENTRE, AL 35960 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528443546 | 2015-07-21 | 2015-08-10 | 114 W LADIGA ST, PIEDMONT, AL, 362722018, US | 114 W LADIGA ST, PIEDMONT, AL, 362722018, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 256-447-7844 |
Authorized person
| Name | DR. JEFFREY RAY EBERHART |
| Role | DOCTOR |
| Phone | 2569272600 |
Taxonomy
| Taxonomy Code | 122300000X - Dentist |
| License Number | 5112 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 122300000X - Dentist |
| License Number | 5161 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 122300000X - Dentist |
| License Number | 4860 |
| State | AL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PRUITT, MICHAEL | Agent | 118 INDEPENDENCE AVEENTERPRISE, AL 36330 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
