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Craygraft, L.L.C.

Details

Name: Craygraft, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 19 Dec 2007 (17 years ago)
Date of dissolution: 14 Sep 2010
Entity Number: 000-413-642
Register Number: 000413642
County: Shelby
Place of Formation: Shelby County
Principal Address: ALABASTER, AL
Registered Office Street Address: 9200 HWY 119 SOUTH STE 200ALABASTER, AL 35007
Registered Office Street Address ZIP Code: 35007

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962687608 2007-12-31 2008-01-04 9200 HIGHWAY 119, SUITE 200, ALABASTER, AL, 350075337, US 9200 HIGHWAY 119, SUITE 200, ALABASTER, AL, 350075337, US

Contacts

Phone +1 205-621-5304

Authorized person

Name DR. ANDREW JONATHAN CRAFT
Role MEMBER
Phone 2056215304

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5013
State AL
Is Primary Yes
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 5006
State AL
Is Primary No
Taxonomy Code 1223G0001X - General Practice Dentistry
License Number 3975
State AL
Is Primary No
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
License Number 4187
State AL
Is Primary No

Member

Name Role
O'NEIL, MICHAEL L Member
CRAFT, ANDREW J Member
GRAY, S MARK Member
STARLIN, CALVIN C Member

Agent

Name Role
CRAFT, ANDREW J Agent

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State