| Name: | Tuscaloosa Family Dental, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Nov 2017 (7 years ago) |
| Entity Number: | 000-409-052 |
| Register Number: | 000409052 |
| County: | Tuscaloosa |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 7402 HWY 69S, SUITE HTUSCALOOSA, AL 35405 |
| Registered Office Street Address ZIP Code: | 35405 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558879817 | 2018-01-19 | 2018-01-19 | 1304 TREE CROSSINGS PKWY, HOOVER, AL, 352444051, US | 7402 HIGHWAY 69 S, TUSCALOOSA, AL, 354051300, US | |||||||||||||||||
|
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| Phone | +1 205-451-3010 |
Authorized person
| Name | DR. KIMBERLY PARKER LEWIS |
| Role | OWNER |
| Phone | 2054513010 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 6039 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LEWIS, KIMBERLY P | Agent |
| Name | Role | Address |
|---|---|---|
| LEWIS, KIMBERLY PARKER | Organizer | 7402 HWY 69S, SUITE HTUSCALOOSA, AL 35405 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
