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Red Mountain Pediatric Dentistry, LLC

Details

Name: Red Mountain Pediatric Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 02 Aug 2019 (5 years ago) (Companies founded in August 2019)
Entity Number: 000-583-324
Register Number: 000583324
ZIP code: 35221 (Companies in Jefferson, 35221)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2832 LAKESHORE PARKWAYBIRMINGHAM, AL 35221

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952934226 2020-02-14 2020-02-14 4026 NEWTOWN LN, HOOVER, AL, 352266374, US 2836 LAKESHORE PKWY, BIRMINGHAM, AL, 352115500, US

Contacts

Phone +1 205-540-4970

Authorized person

Name DR. LAUREN PAUL DEAN
Role DENTIST
Phone 2055404970

Taxonomy

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

Agent

Name Role Address
DEAN, LAUREN P Agent 2832 LAKESHORE PARKWAYBIRMINGHAM, AL 35221

Organizer

Name Role Address
DEAN, LAUREN P Organizer 2832 LAKESHORE PARKWAYBIRMINGHAM, AL 35221

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State