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PAD Ortho, LLC

Details

Name: PAD Ortho, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Jul 2018 (6 years ago) (Companies founded in July 2018)
Entity Number: 000-523-896
Register Number: 000523896
ZIP code: 35244 (Companies in Jefferson, 35244)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 1015 BROCKS GAP PARKWAYHOOVER, AL 35244

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205319605 2018-09-11 2018-09-11 1015 BROCKS GAP PKWY, HOOVER, AL, 352444032, US 1015 BROCKS GAP PKWY, HOOVER, AL, 352444032, US

Contacts

Phone +1 205-982-0112
Fax 2059820737

Authorized person

Name JOEY WEST
Role OFFICE MANAGER
Phone 2059820112

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

Agent

Name Role Address
JOHNSON, LAUTEN Agent 1833 SHADES CREST ROADBIRMINGHAM, AL 35216

Organizer

Name Role Address
HASTY, WILLIAM D JR Organizer 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State