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Rocket City Kids Pediatric Dentistry, LLC

Details

Name: Rocket City Kids Pediatric Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 03 Jan 2007 (18 years ago)
Entity Number: 000-488-419
Register Number: 000488419
Historical Names: Whitney Shelton, DDS, LLC
Alabama Children's Dentistry LLC
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 1105 GLENEAGLES DRHUNTSVILLE, AL 35801
Registered Office Street Address ZIP Code: 35801

Activities DENTISTRY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164844718 2014-01-16 2014-01-16 1105 GLENEAGLES DR SW, HUNTSVILLE, AL, 358016405, US 1105 GLENEAGLES DR SW, HUNTSVILLE, AL, 358016405, US

Contacts

Phone +1 256-882-2466
Fax 2568822402

Authorized person

Name DR. WHITNEY O. SHELTON
Role DENTIST
Phone 2568822466

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
License Number 4127
State AL
Is Primary Yes

Agent

Name Role
SHELTON, WHITNEY Agent

Member

Name Role
SHELTON, WHITNEY Member

Events

Event Date Event Type Old Value New Value
2013-11-05 Name Change Alabama Children's Dentistry LLC Rocket City Kids Pediatric Dentistry, LLC
2013-05-31 Name Change Whitney Shelton, DDS, LLC Alabama Children's Dentistry LLC

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State