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Prattville Dental Associates, LLC

Details

Name: Prattville Dental Associates, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 21 Mar 2016 (9 years ago) (Companies founded in March 2016)
Entity Number: 000-365-764
Register Number: 000365764
ZIP code: 36066 (Companies in Autauga, 36066)
County: Autauga
Place of Formation: South Carolina
Principal Address: 660 MCQUEEN SMITH RD NPRATTVILLE, AL 36066

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447607494 2016-05-19 2016-05-19 660 MCQUEEN SMITH RD N, PRATTVILLE, AL, 360667554, US 660 MCQUEEN SMITH RD N, PRATTVILLE, AL, 360667554, US

Contacts

Phone +1 334-491-1725

Authorized person

Name DR. BENJAMIN FRANKLIN SHEFTALL
Role OWNER/PRESIDENT
Phone 8439910344

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
COLLEY, DEBBIE Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State