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Bivona and Branstetter Family Dental LLC

Details

Name: Bivona and Branstetter Family Dental LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Dissolved
Date of registration: 18 Dec 2015 (9 years ago) (Companies founded in December 2015)
Date of dissolution: 10 Mar 2021
Entity Number: 000-352-290
Register Number: 000352290
ZIP code: 35501 (Companies in Walker, 35501)
County: Walker
Place of Formation: Walker County
Registered Office Street Address: 1208 HWY 78 EJASPER, AL 35501

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003272907 2016-01-07 2016-01-07 1208 HIGHWAY 78 E, JASPER, AL, 355013963, US 1208 HIGHWAY 78 E, JASPER, AL, 355013963, US

Contacts

Phone +1 205-221-2733

Authorized person

Name DR. JOHN BRANSTETTER
Role PARTNER
Phone 2052212733

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 4217
State AL
Is Primary Yes

Agent

Name Role
BRANSTETTER, JOHN A Agent

Organizer

Name Role
BRANSTETTER, JOHN A Organizer

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State