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Stonecreek Dental of Alabama, LLC

Details

Name: Stonecreek Dental of Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 12 Apr 2019 (6 years ago)
Entity Number: 000-572-839
Register Number: 000572839
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992584494 2023-09-25 2023-09-25 6 FRANKLIN ST, ALEXANDER CITY, AL, 350101913, US 6 FRANKLIN ST, ALEXANDER CITY, AL, 350101913, US

Contacts

Phone +1 256-234-6401

Authorized person

Name VERONICA JACKSON
Role REVENUE CYCLE MANAGER
Phone 2059191750

Taxonomy

Taxonomy Code 261QD0000X - Dental Clinic/Center
Is Primary Yes

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Organizer

Name Role Address
ARNOLD, JOHN V Organizer 511 UNION ST STE 2700NASHVILLE, TN 37219

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State