| 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) |
| Entity Number: | 000-442-025 |
| Register Number: | 000442025 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | MADISON, AL |
| Registered Office Street Address: | 120 WEST DUBLIN STE 202MADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 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 | |||||||||||||||||||||
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| 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
