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Joshua D Mathis DDS, L.L.C.

Details

Name: Joshua D Mathis DDS, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 22 Sep 2017 (7 years ago)
Entity Number: 000-403-924
Register Number: 000403924
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 731 PETRIE RD.AUBURN, AL 36830
Registered Office Street Address ZIP Code: 36830

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1386121473 2018-07-23 2018-07-23 731 PETRIE RD, AUBURN, AL, 368303046, US 2311 BENT CREEK RD., STE 500, AUBURN, AL, 36830, US

Contacts

Phone +1 918-852-4854

Authorized person

Name DR. JOSHUA DALE MATHIS
Role OWNER DENTIST
Phone 9188524854

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 6400
State AL
Is Primary Yes

Organizer

Name Role Address
MATHIS, JOSHUA D JOSHU Organizer 731 PETRIE RD.AUBURN, AL 36830

Agent

Name Role
MATHIS, JOSHUA D MATHIS Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State