| Name: | East Alabama Dental Group, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Feb 2010 (15 years ago) (Companies founded in February 2010) |
| Entity Number: | 000-443-204 |
| Register Number: | 000443204 |
| ZIP code: | 36801 (Companies in Lee, 36801) |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 1945 1ST AVEOPELIKA, AL 36801 |
Activities
DENTISTRY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891017836 | 2010-02-18 | 2024-08-20 | 1945 1ST AVE, OPELIKA, AL, 368015403, US | 1945 1ST AVE, OPELIKA, AL, 368015403, US | |||||||||||||||||||||||
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| Phone | +1 334-749-5014 |
| Fax | 3347499823 |
Authorized person
| Name | KEITH ALLAN THOMPSON |
| Role | OWNER |
| Phone | 3347495014 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 0005367 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| THOMPSON, KEITH A | Agent | 4149 CARMICHAEL ROADMONTGOMERY, AL 36106 |
| Name | Role | Address |
|---|---|---|
| THOMPSON DENTAL PC | Member | 1945 1ST AVENUEOPELIKA, AL 36801 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
