Name: | Complete Dental Center - Huntsville, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 06 Jan 2010 (15 years ago) (Companies founded in January 2010) |
Entity Number: | 000-442-025 |
Register Number: | 000442025 |
ZIP code: | 35758 (Companies in Madison, 35758) |
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | MADISON, AL |
Registered Office Street Address: | 120 WEST DUBLIN STE 202MADISON, AL 35758 |
Activities
DENTAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1619207719 | 2010-01-12 | 2010-01-12 | 120 W DUBLIN DR, SUITE 202, MADISON, AL, 357583155, US | 7540 MEMORIAL PKWY SW, SUITE R, HUNTSVILLE, AL, 358022265, US | |||||||||||||||||||||
|
Phone | +1 256-774-7228 |
Fax | 2567742777 |
Phone | +1 256-258-0777 |
Authorized person
Name | MRS. SHELLY M JOHNSON |
Role | MANAGER |
Phone | 2567747228 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
License Number | 5290 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CHAMBLESS, BRANDON | Agent | 120 WEST DUBLIN SUITE 202MADISON, AL 35758 |
Name | Role | Address |
---|---|---|
CHAMBLESS, BRANDON | Member | 120 WEST DUBLIN SUITE 202MADISON, AL 35758 |
SELMAN, JASON | Member | 120 WEST DUBLIN SUITE 202MADISON, AL 35758 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State