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Treehouse Children's Dentistry, LLC

Details

Name: Treehouse Children's Dentistry, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 26 Sep 2019 (5 years ago)
Entity Number: 000-588-704
Register Number: 000588704
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2090 COLUMBIANA ROAD, SUITE 2000BIRMINGHAM, AL 35216
Registered Office Street Address ZIP Code: 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982245395 2019-10-07 2019-10-07 7559 HIGHWAY 72 W STE 108, MADISON, AL, 357588816, US 7559 HIGHWAY 72 W STE 108, MADISON, AL, 357588816, US

Contacts

Phone +1 256-890-4005
Fax 2568904293

Authorized person

Name DR. WESLEY BURTON MOFFETT
Role OWNER
Phone 2568904005

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Organizer

Name Role Address
HASTY, WILLIAMS D JR Organizer 2090 COLUMBIANA ROAD, SUITE 2000BIRMINGHAM, AL 35216

Agent

Name Role Address
HASTY, WILLIAMS D JR Agent 2090 COLUMBIANA ROAD, SUITE 2000BIRMINGHAM, AL 35216

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State