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Dental Associates of Hampton Cove, PLLC

Details

Name: Dental Associates of Hampton Cove, PLLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 21 Dec 2017 (7 years ago)
Entity Number: 000-450-920
Register Number: 000450920
Historical Names: Dental Associates of Hampton Cove, LLC
County: Madison
Place of Formation: Madison County
Principal Address: 6838 US HWY 431 S., SUITE BOWENS CROSS ROADS, AL 35763
Principal Address ZIP Code: 35763
Registered Office Street Address: 2 NORTH JACKSON STREET - SUITE 605MONTGOMERY, AL 35763
Registered Office Street Address ZIP Code: 35763

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922514199 2017-12-23 2017-12-23 6838B HIGHWAY 431 S STE B, OWENS CROSS ROADS, AL, 357639224, US 6838 HIGHWAY 431 S STE B, OWENS CROSS ROADS, AL, 357637201, US

Contacts

Phone +1 256-536-8120
Fax 2565368154

Authorized person

Name DR. LORRIE BRACE GREEN
Role DENTIST/ PARTNER OWNER
Phone 9152178763

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number D6202
State AL
Is Primary Yes

Agent

Name Role
C T CORPOATION SYSTEM Agent

Events

Event Date Event Type Old Value New Value
2022-11-09 Name Change Dental Associates of Hampton Cove, LLC Dental Associates of Hampton Cove, PLLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State