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Holland Family Dentistry, Scottsboro, LLC

Details

Name: Holland Family Dentistry, Scottsboro, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 15 Dec 2016 (8 years ago)
Entity Number: 000-378-488
Register Number: 000378488
County: Jackson
Place of Formation: Jackson County
Registered Office Street Address: 416 PARKS AVENUESCOTTSBORO, AL 35768
Registered Office Street Address ZIP Code: 35768

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710424049 2017-01-25 2017-01-25 416 PARKS AVE, SCOTTSBORO, AL, 357682440, US 416 PARKS AVE, SCOTTSBORO, AL, 357682440, US

Contacts

Phone +1 256-574-5121
Fax 2565745123

Authorized person

Name ALEX HOLLAND
Role DENTIST
Phone 2565745121

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 5465
State AL
Is Primary Yes

Agent

Name Role Address
HOLLAND, ALEX DR Agent 416 PARKS AVENUESCOTTSBORO, AL 35768

Organizer

Name Role Address
HOLLAND, ALEX DR Organizer 416 PARKS AVENUESCOTTSBORO, AL 35768

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State