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Access Dental Care, LLC

Details

Name: Access Dental Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 19 Jul 2017 (7 years ago)
Date of dissolution: 14 Sep 2023
Entity Number: 000-396-872
Register Number: 000396872
County: Morgan
Place of Formation: Morgan County
Registered Office Street Address: 466 HIGHWAY 67 SOUTHDECATUR, AL 35603
Registered Office Street Address ZIP Code: 35603

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184140121 2017-08-22 2022-07-21 1621 WOLVERINE DR SE, DECATUR, AL, 356014933, US 1621 WOLVERINE DR SE, DECATUR, AL, 356014933, US

Contacts

Phone +1 256-431-3184

Authorized person

Name DR. JASSEN ALLEN ANTHONY
Role MEMBER
Phone 2564313184

Taxonomy

Taxonomy Code 122300000X - Dentist
Is Primary Yes
Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary No

Agent

Name Role
ANTHONY, JASSEN A Agent

Organizer

Name Role Address
GEISEN, JONATHAN R Organizer 420 20TH STREET NORTH, SUITE 1400BIRMINGHAM, AL 35203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State