Name: | K. Clay Ellis, Jr., DMD, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 17 Apr 2007 (18 years ago) (Companies founded in April 2007) |
Entity Number: | 000-493-394 |
Register Number: | 000493394 |
ZIP code: | 35901 (Companies in Etowah, 35901) |
County: | Etowah |
Place of Formation: | Etowah County |
Principal Address: | GADSDEN, AL |
Registered Office Street Address: | 315 SOUTH FOURTH STGADSDEN, AL 35901 |
Activities
DENTISTRY PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1770229650 | 2022-05-12 | 2022-06-14 | 311 S 5TH ST STE A, GADSDEN, AL, 359014253, US | 311 S 5TH ST STE A, GADSDEN, AL, 359014253, US | |||||||||||||||
|
Phone | +1 256-543-1285 |
Fax | 2565431719 |
Authorized person
Name | AMANDA GREGORY |
Role | OFFICE MANAGER |
Phone | 2565431285 |
Taxonomy
Taxonomy Code | 1223G0001X - General Practice Dentistry |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ELLIS, K CLAY JR | Agent | 139 FAIROAKS CIRCLEGADSDEN, AL 35901 |
Name | Role | Address |
---|---|---|
ELLIS, K CLAY JR | Member | 139 FAIROAKS CIRCLEGADSDEN, AL 35901 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State