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Pelham Dental, LLC

Details

Name: Pelham Dental, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Jun 2010 (14 years ago)
Entity Number: 000-448-621
Register Number: 000448621
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 5751 POCAHONTAS RD STE ABESSEMER, AL 35022
Registered Office Street Address ZIP Code: 35022

Activities DENTISTRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821302563 2010-08-05 2012-12-07 2685 PELHAM PKWY, SUITE B, PELHAM, AL, 351241354, US 2685 PELHAM PKWY, SUITE B, PELHAM, AL, 351241354, US

Contacts

Phone +1 205-216-0522
Fax 2052160520

Authorized person

Name KAROL POCZATEK
Role DENTIST
Phone 2052160522

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role
POCZATEK, JOHN S Agent

Member

Name Role
POCAZEK, TED M Member
GRAY, HOLT Member

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State