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South Alabama Orthodontics, L.L.C.

Details

Name: South Alabama Orthodontics, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Nov 2009 (15 years ago)
Entity Number: 000-440-012
Register Number: 000440012
County: Baldwin
Place of Formation: Baldwin County
Principal Address: DAPHNE, AL
Registered Office Street Address: 6491 JORDAN RDDAPHNE, AL 36526
Registered Office Street Address ZIP Code: 36526

Activities ORTHODONTIA/DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740653021 2015-11-09 2019-04-03 20 SPRING RUN DR, FAIRHOPE, AL, 365323800, US 20 SPRING RUN DR, FAIRHOPE, AL, 365323800, US

Contacts

Phone +1 251-625-2525

Authorized person

Name DR. SHANE LANGLEY
Role OWNER/ORTHODONTIST
Phone 2516252525

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
License Number AL5418
State AL
Is Primary Yes

Agent

Name Role Address
LANGLEY, CRANFORD SHANE Agent 8076 SPRINGRUN DRIVEFAIRHOPE, AL 36532

Member

Name Role Address
LANGLEY, CRANFORD SHANE Member 8076 SPRINGRUN DRIVEFAIRHOPE, AL 36532

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State