| Name: | Florence Family Dental, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Jun 2019 (5 years ago) |
| Entity Number: | 000-578-141 |
| Register Number: | 000578141 |
| County: | Lauderdale |
| Place of Formation: | Lauderdale County |
| Registered Office Street Address: | 2138 HELTON DRFLORENCE, AL 35630 |
| Registered Office Street Address ZIP Code: | 35630 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306406350 | 2019-06-20 | 2019-06-20 | 2138 HELTON DR, FLORENCE, AL, 356301449, US | 2138 HELTON DR, FLORENCE, AL, 356301449, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 256-766-8800 |
| Fax | 2567601063 |
Authorized person
| Name | DR. IAN K FAWCETT |
| Role | OWNER |
| Phone | 2567668800 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FAWCETT, IAN | Agent | 2138 HELTON DRFLORENCE, AL 35630 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
