| Name: | Medwell Duncan Dental, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Jun 2007 (17 years ago) (Companies founded in June 2007) |
| Entity Number: | 000-496-011 |
| Register Number: | 000496011 |
| ZIP code: | 35022 (Companies in Jefferson, 35022) |
| County: | Jefferson |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 455 SUNBELT DRIVEBESSEMER, AL 35022 |
Activities
DENTAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942575444 | 2012-03-15 | 2012-03-15 | 455 SUNBELT PKWY, BESSEMER, AL, 350223902, US | 2705 PELHAM PKWY, PELHAM, AL, 351241704, US | |||||||||||||||||
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| Phone | +1 205-253-3593 |
Authorized person
| Name | SHAUNDA KELLY |
| Role | CEO |
| Phone | 2055147390 |
Taxonomy
| Taxonomy Code | 1223S0112X - Oral and Maxillofacial Surgery (Dentist) |
| License Number | 5395 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PRINGLE, GABRIEL | Agent | 455 SUNBELT DRIVEBESSEMER, AL 35022 |
| Name | Role |
|---|---|
| KELLY, SHAUNDA | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
