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Sumiton Family Dentistry, LLC

Details

Name: Sumiton Family Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Mar 2017 (8 years ago) (Companies founded in March 2017)
Entity Number: 000-387-335
Register Number: 000387335
ZIP code: 35180 (Companies in Jefferson, 35180)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 205 CALDWELL DRIVEWARRIOR, AL 35180

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265946768 2017-11-21 2017-11-21 385 BRYAN RD STE 300, SUMITON, AL, 351483440, US 385 BRYAN RD STE 300, SUMITON, AL, 351483440, US

Contacts

Phone +1 205-647-3181
Fax 2056477375
Phone +1 205-648-6054
Fax 2056483625

Authorized person

Name BEVERLY LASHEA DODSON
Role INSURANCE DEPARTMENT MANAGER
Phone 2056473181

Taxonomy

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

Agent

Name Role
GRAHAM, ADAM Agent

Organizer

Name Role Address
THOMPSON, CHRIS Organizer 1901 SIXTH AVE N STE 1400BIRMINGHAM, AL 35203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State