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University PT Orthodontics, LLC

Details

Name: University PT Orthodontics, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Aug 2019 (5 years ago)
Entity Number: 000-584-975
Register Number: 000584975
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2034 PATTON CHAPEL RDHOOVER, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700437969 2019-09-27 2019-09-27 2034 PATTON CHAPEL ROAD, HOOVER, AL, 35216, US 641 HELEN KELLER BLVD, TUSCALOOSA, AL, 354042983, US

Contacts

Phone +1 205-979-9480
Phone +1 205-553-2524

Authorized person

Name JEANINE HANSON
Role PRACTICE MANAGER
Phone 2059799480

Taxonomy

Taxonomy Code 1223X0400X - Orthodontics and Dentofacial Orthopedic Dentist
Is Primary Yes

Agent

Name Role
TODD, MARK A Agent

Organizer

Name Role Address
BOWDRE, J BIRCH Organizer 800 SHADES CREEK PKWY STE 400BIRMINGHAM, AL 35209

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State