| Name: | Liles Family Dentistry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 May 2019 (5 years ago) |
| Entity Number: | 000-576-765 |
| Register Number: | 000576765 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689295339 | 2020-05-05 | 2020-05-05 | 1523 MARIE LOOP, AUBURN, AL, 368306720, US | 2234 OGLETREE VILLAGE LN, AUBURN, AL, 368302967, US | |||||||||||||||||
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| Phone | +1 251-422-6833 |
| Phone | +1 334-539-5570 |
| Fax | 3345395567 |
Authorized person
| Name | DR. BRADFORD LILES |
| Role | DENTIST |
| Phone | 3345395570 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
| 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
