Search icon

Craig M. Rousso, DMD, LLC

Details

Name: Craig M. Rousso, DMD, 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: 000-595-861
Register Number: 000595861
ZIP code: 35223 (Companies in Jefferson, 35223)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 120 OFFICE PARK DRIVE, SUITE 240MOUNTAIN BROOK, AL 35223

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1144855701 2020-03-04 2020-03-04 120 OFFICE PARK DR STE 240, MOUNTAIN BRK, AL, 352233407, US 120 OFFICE PARK DR STE 240, MOUNTAIN BRK, AL, 352233407, US

Contacts

Phone +1 205-423-9140

Authorized person

Name DR. CRAIG ROUSSO
Role MEMBER
Phone 2054239140

Taxonomy

Taxonomy Code 1223G0001X - General Practice Dentistry
Is Primary Yes

Agent

Name Role Address
ROUSSO, CRAIG M DMD Agent 1134 LAKEVIEW CRESCENTBIRMINGHAM, AL 35205

Organizer

Name Role Address
ROUSSO, CRAIG M DMD Organizer 1134 LAKEVIEW CRESCENTBIRMINGHAM, AL 35205

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State