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Wiregrass Dental Center, LLC

Details

Name: Wiregrass Dental Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 10 Jul 2017 (7 years ago) (Companies founded in July 2017)
Entity Number: 000-395-871
Register Number: 000395871
ZIP code: 36330 (Companies in Coffee, 36330)
County: Coffee
Place of Formation: Coffee County
Registered Office Street Address: 2 EAST POINT CIRCLEENTERPRISE, AL 36330

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
KP57VGX2VKF3 2023-12-16 2 E POINTE CT, ENTERPRISE, AL, 36330, 1392, USA 2 EAST POINTE COURT, ENTERPRISE, AL, 36330, USA

Business Information

URL wiregrassdental.com
Division Name WIREGRASS DENTAL CENTER LLC
Congressional District 02
State/Country of Incorporation AL, USA
Activation Date 2023-01-18
Initial Registration Date 2022-12-14
Entity Start Date 2017-07-15
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621210
Product and Service Codes Q503

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JONATHAN B UNTERKOFLER
Role MANAGER
Address 2 EAST POINTE COURT, ENTERPRISE, AL, 36330, USA
Government Business
Title PRIMARY POC
Name JONATHAN B UNTERKOFLER
Role MANAGER
Address 2 EAST POINTE COURT, ENTERPRISE, AL, 36330, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265956825 2017-07-26 2022-07-21 2 EAST POINTE CIRCLE, ENTERPRISE, AL, 36330, US 2 E POINTE CT, ENTERPRISE, AL, 363301392, US

Contacts

Phone +1 334-347-3061

Authorized person

Name DR. JESSICA NIX UNTERKOFLER
Role OWNER
Phone 3343473061

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 21381
State AL
Is Primary Yes

Agent

Name Role Address
UNTERKOFLER, JESSICA Agent 2 EAST POINT CIRCLEENTERPRISE, AL 36330

Member

Name Role
UNTERKOFLER DENTAL CENTER LLC Member

Organizer

Name Role Address
UNTERKOFLER DENTAL CENTER LLC Organizer No data
MISSIRLAIN, H ARTHUR Organizer 2 EAST POINT CIRCLEENTERPRISE, AL 36330
UNTERKOFLER, JESSICA Organizer 2 EAST POINT CIRCLEENTERPRISE, AL 36330

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State