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Brooke Jordan DDS, LLC

Details

Name: Brooke Jordan DDS, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 12 Dec 2019 (5 years ago)
Entity Number: 000-595-442
Register Number: 000595442
County: Shelby
Place of Formation: Jefferson County
Registered Office Street Address: 4250 MARDEN WAYBIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467085837 2020-02-13 2020-02-13 101 MISSIONARY RDG STE 101, BIRMINGHAM, AL, 352425203, US 101 MISSIONARY RDG STE 101, BIRMINGHAM, AL, 352425203, US

Contacts

Phone +1 205-995-1450
Fax 2059810540

Authorized person

Name TERESA M MORRIS
Role OFFICE MANAGER
Phone 2059951450

Taxonomy

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

Agent

Name Role
JORDAN, BROOKE Agent

Organizer

Name Role Address
THOMSON, SARAH P. Organizer 420 20TH STREET NORTH SUITE 2000BIRMINGHAM, AL 35242

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State