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Cove Family Dentistry, LLC

Details

Name: Cove Family Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 Aug 2015 (9 years ago)
Entity Number: 000-343-829
Register Number: 000343829
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 2607 DEFORD MILL RDHAMPTON COVE, AL 35763
Registered Office Street Address ZIP Code: 35763

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134598246 2015-09-18 2023-04-26 6707 HIGHWAY 431 S STE 103, OWENS CROSS ROADS, AL, 357639299, US 6707 HIGHWAY 431 S STE 103, OWENS CROSS ROADS, AL, 357639299, US

Contacts

Phone +1 256-534-1475
Fax 2565331425

Authorized person

Name DR. ELIZABETH ELLEN DULING
Role MEMBER
Phone 2565341475

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 6157
State AL
Is Primary Yes
Taxonomy Code 332BC3200X - Customized Equipment (DME)
Is Primary No

Agent

Name Role
DULING, ELIZABETH E Agent

Organizer

Name Role
DULING, ELIZABETH E Organizer

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State