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Jayashree Srinivasan, DMD, LLC

Details

Name: Jayashree Srinivasan, DMD, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 08 Jul 2016 (8 years ago)
Entity Number: 000-366-878
Register Number: 000366878
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 2331 PANSY ST SWHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1699221218 2016-09-01 2016-09-01 2331 PANSY STREET, HUNTSVILLE, AL, 358013804, US 2331 PANSY ST SW, HUNTSVILLE, AL, 358013804, US

Contacts

Phone +1 256-533-7700

Authorized person

Name DR. JAYASHREE SRINIVASAN
Role OWNER
Phone 3345242738

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 6088
State AL
Is Primary Yes

Agent

Name Role Address
SRINIVASAN, JAYASHREE Agent 700 DOROTHY FORD LAND SW APT 310HUNTSVILLE, AL 35801

Organizer

Name Role Address
SRINIVASAN, JAYASHREE Organizer 700 DOROTHY FORD LAND SW APT 310HUNTSVILLE, AL 35801

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State