| Name: | Shelby Dental Center, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Feb 2005 (20 years ago) (Companies founded in February 2005) |
| Entity Number: | 000-460-695 |
| Register Number: | 000460695 |
| ZIP code: | 35115 (Companies in Shelby, 35115) |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | MONTEVALLO, AL |
| Registered Office Street Address: | BLDG 200 101 HWY 87MONTEVALLO, AL 35115 |
Activities
PERFORMING DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962830646 | 2013-10-16 | 2013-10-16 | P O BOX 1105, 101 HWY 87, BLDG, CALERA, AL, 350407209, US | 101 HIGHWAY 87, BLDG 300, CALERA, AL, 350407209, US | |||||||||||||||||||
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| Phone | +1 205-664-1190 |
| Fax | 2056216212 |
Authorized person
| Name | ASHLEY FORD |
| Role | DENTIST |
| Phone | 2056641190 |
Taxonomy
| Taxonomy Code | 1223G0001X - General Practice Dentistry |
| License Number | 5208 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FORD, MICHAEL | Agent | 981 COUNTY ROAD 2811LINEVILLE, AL 36266 |
| Name | Role | Address |
|---|---|---|
| FORD, MICHAEL | Member | 981 COUNTY ROAD 2811LINEVILLE, AL 36266 |
| FORD, ASHLEY | Member | No data |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
