Search icon

Enhance Dental, LLC

Details

Name: Enhance Dental, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 22 Apr 2008 (17 years ago)
Date of dissolution: 29 Mar 2013
Entity Number: 000-419-325
Register Number: 000419325
County: Shelby
Place of Formation: Shelby County
Principal Address: PELHAM, AL
Registered Office Street Address: 389 HUNTLEY PKWYPELHAM, AL 35124
Registered Office Street Address ZIP Code: 35124

Activities GENERAL FAMILY/COSMETIC DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154561496 2009-02-26 2009-02-26 389 HUNTLEY PKWY, PELHAM, AL, 351246164, US 389 HUNTLEY PKWY, PELHAM, AL, 351246164, US

Contacts

Phone +1 205-664-5099
Fax 2056645097

Authorized person

Name DR. KIMONNIE SHANNON
Role DENTIST
Phone 2056645099

Taxonomy

Taxonomy Code 122300000X - Dentist
License Number 5483
State AL
Is Primary Yes

Agent

Name Role Address
SHANNON, KIM-ONNIE Agent 402 COGSWELL AVEPELL CITY, AL 35125

Member

Name Role Address
SHANNON, KIM-ONNIE Member 402 COGSWELL AVEPELL CITY, AL 35125

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State