| Name: | Alex White, DDS, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Mar 2010 (15 years ago) (Companies founded in March 2010) |
| Entity Number: | 000-444-144 |
| Register Number: | 000444144 |
| ZIP code: | 36608 (Companies in Mobile, 36608) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 3805 AIRPORT BLVDMOBILE, AL 36608 |
| Principal Address: | MOBILE, AL |
Activities
DENTISTRY PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093233702 | 2017-09-01 | 2022-07-21 | 3805 AIRPORT BLVD, MOBILE, AL, 366081619, US | 3805 AIRPORT BLVD, MOBILE, AL, 366081619, US | |||||||||||||||||||||||||
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| Phone | +1 251-343-9998 |
| Fax | 2513439299 |
Authorized person
| Name | DR. ALEX WHITE JR. |
| Role | DENTIST/OWNER |
| Phone | 2513439998 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| License Number | 4473 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1548461676 |
| State | AL |
| Name | Role |
|---|---|
| WHITE, ALEX | Agent |
| Name | Role |
|---|---|
| WHITE, ALEX | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
