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