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Midtown Dental LLC

Details

Name: Midtown Dental LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 Nov 2016 (8 years ago)
Entity Number: 000-376-110
Register Number: 000376110
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 21 CHALKSTONE STREET NWHUNTSVILLE, AL 35806
Registered Office Street Address ZIP Code: 35806

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952844656 2016-11-29 2016-11-29 100 PROVIDENCE MAIN ST NW STE C, HUNTSVILLE, AL, 358064827, US 100 PROVIDENCE MAIN ST NW STE C, HUNTSVILLE, AL, 358064827, US

Contacts

Phone +1 256-653-9830

Authorized person

Name DR. DAVID JUDD ALLEN
Role PRESIDENT
Phone 6015946323

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 5665
State AL
Is Primary Yes

Agent

Name Role Address
ALLEN, DAVID Agent 305 NORTH CONCEPTION STREEET APT 4MOBILE, AL 36603

Organizer

Name Role Address
MAYHEW, BRADLEY C Organizer 1819 FIFTH AVE N STE 1000BIRMINGHAM, AL 35203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State