| Name: | Grants Mill Family Dentistry, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Dec 2019 (5 years ago) (Companies founded in December 2019) |
| Entity Number: | 000-595-856 |
| Register Number: | 000595856 |
| ZIP code: | 35210 (Companies in Jefferson, 35210) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1032 GRANTS MILL ROADIRONDALE, AL 35210 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538775150 | 2020-09-18 | 2020-12-11 | 1024 GRANTS MILL RD, IRONDALE, AL, 352102108, US | 1024 GRANTS MILL RD, IRONDALE, AL, 352102108, US | |||||||||||||||
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| Phone | +1 205-857-3600 |
| Fax | 2058573600 |
Authorized person
| Name | DR. ANDREA HOLMES WILEY |
| Role | OWNER |
| Phone | 3343541384 |
Taxonomy
| Taxonomy Code | 261QD0000X - Dental Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WATKINS, JOSHUA M | Organizer | 4000 EAGLE POINT CORPORATE DRIVEBIRMINGHAM, AL 35242 |
| Name | Role |
|---|---|
| WILEY, ANDREA H | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
